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General NPI Number Information
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NPI Number | 1457402356
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES OF THE DIOCESE OF VENICE INC
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 06/02/2010
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Provider Practice Location Address
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Address Line | 4930 FRUITVILLE RD
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City | SARASOTA
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State | FL
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Zip | 34232-2206
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Country | US
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Telephone | 941-379-9111
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Fax | 941-379-3611
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Provider Business Mailing Address
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Address Line | 5055 N TAMIAMI TRL
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City | SARASOTA
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State | FL
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Zip | 34234-3803
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Country | US
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Telephone | 941-355-4680
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Fax | 941-359-8374
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. PETER ROUTSIS-ARROYO
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Credential |
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Telephone | 941-379-9111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 07-006266
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License Number State | FL
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