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General NPI Number Information
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NPI Number | 1295802445
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Entity Type | Organization
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Legal Business Name | COLLIER HMA PHYSICIAN MANAGEMENT, INC
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 06/25/2009
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Provider Practice Location Address
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Address Line | 8340 COLLIER BOULEVARD
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City | NAPLES
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State | FL
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Zip | 34114
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Country | US
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Telephone | 239-348-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 5811 PELICAN BAY BLVD SUITE 500
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City | NAPLES
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State | FL
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Zip | 34108-2704
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Country | US
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Telephone | 239-598-3131
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Fax | 239-598-9433
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Authorized Official
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Title or Position | SR. VICE PRESIDENT
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Name | MR. STANLEY D MCLEMORE
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Credential |
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Telephone | 239-598-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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