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General NPI Number Information
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NPI Number | 1760330187
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Entity Type | Organization
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Legal Business Name | OHI WIREGRASS RANCH INC
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 20060 STATE ROAD 54
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City | LUTZ
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State | FL
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Zip | 33558
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Country | US
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Telephone | 813-682-3551
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Fax |
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Provider Business Mailing Address
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Address Line | 1335 SLIGH BLVD # MP38
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City | ORLANDO
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State | FL
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Zip | 32806-3901
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Country | US
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Telephone | 321-843-4926
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Fax |
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Authorized Official
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Title or Position | SVP, FINANCE
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Name | JOHN MILLER
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Credential |
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Telephone | 614-561-1208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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