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General NPI Number Information
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NPI Number | 1235129149
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Entity Type | Organization
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Legal Business Name | MANATEE MEMORIAL HOSPITAL L P
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 206 2ND ST E
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City | BRADENTON
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State | FL
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Zip | 34208-1042
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Country | US
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Telephone | 941-746-5111
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Fax |
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Provider Business Mailing Address
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Address Line | 206 2ND ST E
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City | BRADENTON
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State | FL
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Zip | 34208-1042
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Country | US
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Telephone | 941-746-5111
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Fax |
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Authorized Official
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Title or Position | CFO, SENIOR VP
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Name | STEVE FILTON
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Credential |
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Telephone | 610-768-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 4146
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License Number State | FL
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