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General NPI Number Information
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NPI Number | 1487869467
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD MEDICAL CENTER, INC
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 438 W BREVARD ST
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City | TALLAHASSEE
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State | FL
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Zip | 32301-1004
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Country | US
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Telephone | 850-224-2469
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Fax | 850-513-3277
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Provider Business Mailing Address
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Address Line | 438 W BREVARD ST
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City | TALLAHASSEE
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State | FL
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Zip | 32301-1004
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Country | US
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Telephone | 850-224-2469
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Fax | 850-224-1139
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. JEANNE S FREEMAN
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Credential | MSN
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Telephone | 850-459-2328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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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 | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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