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NPI 1780889865

NPI 1780889865 : OCALA FAMILY CARE PA : OCALA, FL

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General NPI Number Information
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    NPI Number           |    1780889865
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    Entity Type          |    Organization 
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    Legal Business Name  |    OCALA FAMILY CARE PA 
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Dates
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    Enumeration Date     |    06/18/2007
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    Last Update Date     |    05/12/2009
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Provider Practice Location Address
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    Address Line         |    4600 SW 46TH CT BLDG 200 SUITE 280
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    City                 |    OCALA
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    State                |    FL
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    Zip                  |    34474-5708
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    Country              |    US
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    Telephone            |    352-861-1533
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    Fax                  |    352-861-1562
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Provider Business Mailing Address
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    Address Line         |    4600 SW 46TH CT BLDG 200 SUITE 280
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    City                 |    OCALA
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    State                |    FL
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    Zip                  |    34474-5708
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    Country              |    US
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    Telephone            |    352-861-1533
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    Fax                  |    352-861-1562
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. RAJNIKANT B PATEL 
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    Credential           |    M.D.
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    Telephone            |    352-861-1533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    ME93867
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    License Number State |    FL
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