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General NPI Number Information
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NPI Number | 1962748400
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Entity Type | Organization
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Legal Business Name | REGIONAL HEALTH PARTNERS LLC
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Dates
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Enumeration Date | 01/02/2013
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Last Update Date | 04/02/2018
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Provider Practice Location Address
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Address Line | 125 SW 7TH ST
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City | WILLISTON
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State | FL
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Zip | 32696-2403
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Country | US
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Telephone | 352-529-0681
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Fax | 352-529-1420
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Provider Business Mailing Address
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Address Line | PO BOX 130
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City | WILLISTON
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State | FL
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Zip | 32696-2403
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Country | US
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Telephone | 352-528-2801
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Fax | 352-528-1493
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Authorized Official
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Title or Position | CEO
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Name | EDITH E MEARS
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Credential |
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Telephone | 352-528-2801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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