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General NPI Number Information
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NPI Number | 1699192567
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Entity Type | Organization
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Legal Business Name | JAY HOSPITAL INC
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Dates
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Enumeration Date | 03/27/2014
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Last Update Date | 01/11/2024
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Provider Practice Location Address
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Address Line | 8401 N CENTURY BLVD
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City | CENTURY
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State | FL
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Zip | 32535-1631
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Country | US
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Telephone | 850-256-5314
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 399
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City | CENTURY
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State | FL
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Zip | 32535-0399
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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 | ADMINISTRATOR
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Name | KEITH STRICKLING
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Credential |
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Telephone | 850-675-8024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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