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General NPI Number Information
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NPI Number | 1437180239
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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 | 07/06/2006
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 1389 S US 301
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City | SUMTERVILLE
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State | FL
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Zip | 33585-5143
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Country | US
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Telephone | 352-793-5900
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Fax | 352-793-9558
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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 | 352-793-8050
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Authorized Official
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Title or Position | CEO
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Name | VICKI WYNNS
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Credential |
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Telephone | 352-793-5900
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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 | N/A
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License Number State | FL
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