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General NPI Number Information
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NPI Number | 1578506762
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Entity Type | Organization
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Legal Business Name | CITRUS HMA LLC
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 12/14/2021
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Provider Practice Location Address
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Address Line | 6201 N SUNCOAST BLVD
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City | CRYSTAL RIVER
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State | FL
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Zip | 34428-6712
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Country | US
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Telephone | 352-795-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 N SUNCOAST BLVD
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City | CRYSTAL RIVER
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State | FL
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Zip | 34428-6712
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Country | US
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Telephone | 352-795-8383
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/DELEGATED OFFICIAL
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Name | PAULA M LALOR
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Credential |
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Telephone | 629-215-3953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 4116
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License Number State | FL
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