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General NPI Number Information
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NPI Number | 1275845968
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Entity Type | Organization
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Legal Business Name | MCR HEALTH, INC.
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Dates
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Enumeration Date | 07/09/2010
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 1148 E GIBSON ST
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City | ARCADIA
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State | FL
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Zip | 34266-5011
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Country | US
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Telephone | 863-494-6222
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Fax | 863-491-5350
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Provider Business Mailing Address
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Address Line | 101 RIVERFRONT BLVD STE 710
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City | BRADENTON
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State | FL
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Zip | 34205-8812
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Country | US
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Telephone | 941-776-4000
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Fax | 941-845-4963
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MELVIN PRICE
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Credential |
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Telephone | 941-776-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PH24691
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License Number State | FL
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