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General NPI Number Information
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NPI Number | 1750516506
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Entity Type | Organization
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Legal Business Name | NATIONAL MANAGED CARE SOLUTIONS, LIMITED LIABILITY COMPANY
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Dates
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Enumeration Date | 05/22/2009
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Last Update Date | 05/22/2009
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Provider Practice Location Address
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Address Line | 819 TOWNSEND BLVD SUITE 4
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City | JACKSONVILLE
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State | FL
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Zip | 32211-6132
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Country | US
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Telephone | 904-551-7595
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Fax |
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Provider Business Mailing Address
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Address Line | 9570 REGENCY SQUARE BLVD SUITE 200
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City | JACKSONVILLE
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State | FL
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Zip | 32225-9103
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Country | US
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Telephone | 904-638-2650
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. PAUL SHIRLEY
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Credential | M.D.
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Telephone | 904-398-2010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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