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General NPI Number Information
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NPI Number | 1407126444
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH CENTERS INC
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Dates
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Enumeration Date | 01/09/2012
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 225 N 1ST ST
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City | LEESBURG
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State | FL
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Zip | 34748-5150
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Country | US
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Telephone | 352-314-7403
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Fax | 844-630-9990
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Provider Business Mailing Address
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Address Line | 110 S WOODLAND ST
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City | WINTER GARDEN
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State | FL
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Zip | 34787-3546
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Country | US
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Telephone | 407-905-8827
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Fax | 321-221-1040
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Authorized Official
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Title or Position | CFO
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Name | MARK W DICKINSON
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Credential |
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Telephone | 407-905-8827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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