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General NPI Number Information
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NPI Number | 1649367269
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Entity Type | Organization
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Legal Business Name | MEMORIAL HOSPITAL-WEST VOLUSIA INC
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 701 W. PLYMOUTH AVENUE
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City | DELAND
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State | FL
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Zip | 32720-3236
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Country | US
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Telephone | 386-943-4522
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Fax | 386-943-3674
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Provider Business Mailing Address
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Address Line | 770 W GRANADA BLVD STE 203
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City | ORMOND BEACH
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State | FL
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Zip | 32174-5179
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Country | US
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Telephone | 386-943-4522
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Fax | 386-943-3674
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Authorized Official
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Title or Position | CFO
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Name | MR. JONATHAN ARMSTRONG
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Credential |
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Telephone | 407-497-8195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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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 | 261QR0404X
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Taxonomy Name | Cardiac Rehabilitation Clinic/Center
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 4436
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License Number State | FL
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