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General NPI Number Information
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NPI Number | 1649564022
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Entity Type | Organization
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Legal Business Name | GEO HEALTHCARE, INC.
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Dates
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Enumeration Date | 06/03/2011
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Last Update Date | 05/22/2019
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Provider Practice Location Address
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Address Line | 7409 FAIRLINKS CT
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City | SARASOTA
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State | FL
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Zip | 34243-3848
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Country | US
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Telephone | 407-473-4057
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Fax |
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Provider Business Mailing Address
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Address Line | 7409 FAIRLINKS CT
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City | SARASOTA
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State | FL
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Zip | 34243-3848
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Country | US
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Telephone | 407-473-4057
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Fax |
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Authorized Official
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Title or Position | CMO
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Name | DR. TIM LLOYD
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Credential |
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Telephone | 407-473-4057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | FL
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