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General NPI Number Information
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NPI Number | 1851454094
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Entity Type | Organization
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Legal Business Name | MOORINGS PARK COMMUNITY HEALTH
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 111 MOORINGS PARK DR
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City | NAPLES
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State | FL
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Zip | 34105-2118
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Country | US
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Telephone | 239-261-1616
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Fax | 239-643-9138
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Provider Business Mailing Address
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Address Line | 111 MOORINGS PARK DR
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City | NAPLES
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State | FL
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Zip | 34105-2118
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Country | US
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Telephone | 239-261-1616
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Fax | 239-643-9138
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Authorized Official
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Title or Position | CEO, PRESIDENT
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Name | MR. GUENTHER GOSCH
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Credential | NHA, MBA
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Telephone | 239-261-1616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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