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General NPI Number Information
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NPI Number | 1568008373
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Entity Type | Organization
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Legal Business Name | TALLAHASSEE MEMORIAL HEALTHCARE INC
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Dates
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Enumeration Date | 11/27/2019
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Last Update Date | 12/09/2019
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Provider Practice Location Address
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Address Line | 7514 PARK SPRINGS CIR
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City | ORLANDO
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State | FL
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Zip | 32835-2619
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Country | US
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Telephone | 407-718-0589
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Fax |
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Provider Business Mailing Address
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Address Line | 1607 SAINT JAMES CT STE 1
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5352
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Country | US
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Telephone | 850-431-7021
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ROBIN L MOSS
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Credential |
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Telephone | 850-431-6256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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