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General NPI Number Information
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NPI Number | 1609953942
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Entity Type | Organization
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Legal Business Name | ENDOSCOPY CENTER OF OCALA INC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 12/21/2010
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Provider Practice Location Address
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Address Line | 1901 SE 18TH AVE BUILDING #400
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City | OCALA
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State | FL
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Zip | 34471-8215
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Country | US
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Telephone | 352-732-8905
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Fax | 352-732-2440
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Provider Business Mailing Address
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Address Line | 1901 SE 18TH AVE BUILDING #400
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City | OCALA
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State | FL
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Zip | 34471-8215
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Country | US
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Telephone | 352-732-8905
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Fax | 352-732-2307
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | WILLIAM EMERSON
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Credential |
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Telephone | 352-671-3882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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