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General NPI Number Information
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NPI Number | 1225183114
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Entity Type | Organization
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Legal Business Name | UNITED CEREBRAL PALSY OF N FLORIDA
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1241 N EAST AVE
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City | PANAMA CITY
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State | FL
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Zip | 32401-4426
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Country | US
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Telephone | 850-769-7960
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Fax | 850-769-1060
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Provider Business Mailing Address
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Address Line | 1241 N EAST AVE
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City | PANAMA CITY
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State | FL
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Zip | 32401-4426
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Country | US
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Telephone | 850-769-7960
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Fax | 850-769-1060
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Authorized Official
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Title or Position | EXEC DIRECTOR
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Name | KIMBERLY LYNN MCMANUS
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Credential |
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Telephone | 850-769-7960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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