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General NPI Number Information
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NPI Number | 1427473552
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Entity Type | Organization
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Legal Business Name | PASCO COUNTY BOARD OF COUNTY COMMISSIONERS
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Dates
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Enumeration Date | 02/26/2014
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Last Update Date | 02/26/2014
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Provider Practice Location Address
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Address Line | 8600 GALEN WILSON BLVD
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City | PORT RICHEY
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State | FL
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Zip | 34668-5973
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Country | US
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Telephone | 727-834-3340
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Fax | 727-834-3326
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Provider Business Mailing Address
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Address Line | 37918 MERIDIAN AVE
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City | DADE CITY
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State | FL
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Zip | 33525-3822
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Country | US
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Telephone | 352-521-4111
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Fax | 352-521-4105
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Authorized Official
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Title or Position | CHAIRMAN
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Name | JACK MARIANO
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Credential |
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Telephone | 800-847-8949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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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 | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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