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General NPI Number Information
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NPI Number | 1619894458
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Entity Type | Organization
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Legal Business Name | MCR HEALTH, INC.
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 6015 POINTE WEST BLVD
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City | BRADENTON
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State | FL
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Zip | 34209-5525
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Country | US
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Telephone | 941-304-3971
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Fax | 941-254-7283
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Provider Business Mailing Address
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Address Line | 6015 POINTE WEST BLVD
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City | BRADENTON
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State | FL
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Zip | 34209-5525
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Country | US
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Telephone | 941-304-3971
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Fax | 941-254-7283
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MELVIN BERNARD PRICE
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Credential |
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Telephone | 941-779-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #5
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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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