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NPI 1558355057

NPI 1558355057 : MUNROE REGIONAL HEALTH SYSTEMS INC : OCALA, FL

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General NPI Number Information
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    NPI Number           |    1558355057
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    Entity Type          |    Organization 
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    Legal Business Name  |    MUNROE REGIONAL HEALTH SYSTEMS INC 
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Dates
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    Enumeration Date     |    09/12/2005
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    Last Update Date     |    09/13/2011
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Provider Practice Location Address
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    Address Line         |    324 SE 24TH ST 
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    City                 |    OCALA
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    State                |    FL
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    Zip                  |    34471-5362
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    Country              |    US
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    Telephone            |    352-351-7327
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    Fax                  |    352-351-7336
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Provider Business Mailing Address
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    Address Line         |    324 SE 24TH ST 
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    City                 |    OCALA
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    State                |    FL
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    Zip                  |    34471-5362
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    Country              |    US
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    Telephone            |    352-351-7327
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    Fax                  |    352-351-7336
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Authorized Official
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    Title or Position    |    EXECUTIVE VICE PRESIDENT/CFO
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    Name                 |     RICHARD D MUTARELLI 
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    Credential           |    
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    Telephone            |    352-351-7327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    176B00000X
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    Taxonomy Name        |    Midwife
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    License Number       |    
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    License Number State |    
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