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General NPI Number Information
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NPI Number | 1699874248
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Entity Type | Organization
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Legal Business Name | SHANDS TEACHING HOSPITAL AND CLINICS, INC.
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610-3003
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Country | US
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Telephone | 352-265-0111
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Fax | 352-627-9049
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Provider Business Mailing Address
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Address Line | PO BOX 100303
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City | GAINESVILLE
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State | FL
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Zip | 32610-0172
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Country | US
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Telephone | 352-627-9045
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Fax | 352-627-9049
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Authorized Official
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Title or Position | CEO
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Name | MR. MICHAEL D. HOLMES
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Credential |
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Telephone | 352-733-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number | 4286
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 4286
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 335U00000X
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Taxonomy Name | Organ Procurement Organization
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License Number | 4
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 3416A0800X
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Taxonomy Name | Air Ambulance
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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 | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 4286
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License Number State | FL
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