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General NPI Number Information
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NPI Number | 1487044780
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Entity Type | Organization
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Legal Business Name | OCALA BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 01/26/2015
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Last Update Date | 01/26/2015
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Provider Practice Location Address
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Address Line | 3130 SW 27TH AVE
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City | OCALA
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State | FL
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Zip | 34471-4306
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Country | US
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Telephone | 866-671-3130
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Fax |
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Provider Business Mailing Address
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Address Line | 3130 SW 27TH AVE
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City | OCALA
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State | FL
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Zip | 34471-4306
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Country | US
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Telephone | 866-671-3130
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Fax |
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Authorized Official
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Title or Position | SR VP CFO
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Name | STEVE FILTON
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Credential |
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Telephone | 610-768-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State | FL
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