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General NPI Number Information
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NPI Number | 1427545375
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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 | 04/17/2018
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 300 S LINE AVE
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City | INVERNESS
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State | FL
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Zip | 34452-4606
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Country | US
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Telephone | 352-419-5760
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Fax | 888-518-2037
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Provider Business Mailing Address
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Address Line | 1425 S US 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 | CREDENTIALING SPECIALIST
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Name | MARY E LIGHTY
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Credential |
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Telephone | 352-569-2964
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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 | HCC9937
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License Number State | FL
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