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NPI 1326231168

NPI 1326231168 : PROJECT HEALTH INC : INVERNESS, FL

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General NPI Number Information
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    NPI Number           |    1326231168
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    Entity Type          |    Organization 
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    Legal Business Name  |    PROJECT HEALTH INC 
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Dates
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    Enumeration Date     |    08/24/2007
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    Last Update Date     |    08/02/2021
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Provider Practice Location Address
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    Address Line         |    151 E HIGHLAND BLVD STE 151 
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    City                 |    INVERNESS
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    State                |    FL
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    Zip                  |    34452-4846
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    Country              |    US
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    Telephone            |    352-793-5900
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    Fax                  |    352-793-6269
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Provider Business Mailing Address
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    Address Line         |    1425 S US HIGHWAY 301 
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    City                 |    SUMTERVILLE
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    State                |    FL
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    Zip                  |    33585-5141
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    Country              |    US
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    Telephone            |    352-793-5900
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    Fax                  |    352-793-6269
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     THOMAS  CHASE 
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    Credential           |    
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    Telephone            |    352-793-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QF0400X
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    Taxonomy Name        |    Federally Qualified Health Center (FQHC)
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    License Number       |    
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    License Number State |    
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