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General NPI Number Information
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NPI Number | 1376565945
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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 | 07/24/2006
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 5325 26TH ST W
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City | BRADENTON
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State | FL
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Zip | 34207-3012
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Country | US
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Telephone | 941-708-8500
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Fax | 941-567-6277
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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 B 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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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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 | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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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 | 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 #4
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #7
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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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