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General NPI Number Information
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NPI Number | 1871988287
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Entity Type | Organization
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Legal Business Name | MEADOWS MEDICAL SOLUTIONS & PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 04/02/2015
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Last Update Date | 04/02/2015
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Provider Practice Location Address
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Address Line | 7217 GREEN SLOPE DR
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City | ZEPHYRHILLS
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State | FL
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Zip | 33541-1306
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Country | US
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Telephone | 352-521-7187
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Fax | 352-521-7192
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Provider Business Mailing Address
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Address Line | 609 MEDICAL CARE DR
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City | BRANDON
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State | FL
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Zip | 33511-5942
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Country | US
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Telephone | 813-662-3200
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Fax | 813-662-3207
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MICHAEL CHRISTOPHER PHILLIPS
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Credential |
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Telephone | 813-662-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | ME48854
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License Number State | FL
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