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General NPI Number Information
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NPI Number | 1366676967
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Entity Type | Organization
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Legal Business Name | CITRUS MEMORIAL HEALTH FOUNDATION INC
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Dates
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Enumeration Date | 05/11/2009
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Last Update Date | 05/11/2009
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Provider Practice Location Address
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Address Line | 502 W HIGHLAND BLVD PHYSICIANS BILLING
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City | INVERNESS
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State | FL
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Zip | 34452-4720
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Country | US
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Telephone | 352-344-6481
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Fax |
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Provider Business Mailing Address
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Address Line | 502 W HIGHLAND BLVD
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City | INVERNESS
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State | FL
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Zip | 34452-4720
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Country | US
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Telephone | 352-344-6481
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. RYAN D BEATY
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Credential |
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Telephone | 352-344-7650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 4233
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License Number State | FL
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