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General NPI Number Information
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NPI Number | 1649641234
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Entity Type | Organization
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Legal Business Name | SOLARIS HEALTHCARE PLANT CITY LLC
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Dates
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Enumeration Date | 10/08/2015
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 701 N WILDER RD
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City | PLANT CITY
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State | FL
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Zip | 33566-7547
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Country | US
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Telephone | 813-752-3611
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3310
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City | WINDERMERE
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State | FL
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Zip | 34786-3310
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ASHLEY PARKER
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Credential |
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Telephone | 813-752-3611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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