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General NPI Number Information
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NPI Number | 1992841282
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Entity Type | Organization
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Legal Business Name | TALLAHASSEE MEMORIAL HEALTHCARE
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1616 PHYSICIANS DR
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4619
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Country | US
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Telephone | 850-431-3910
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Fax |
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Provider Business Mailing Address
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Address Line | 1616 PHYSICIANS DR
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4619
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | BETH BURCH
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Credential |
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Telephone | 850-431-4910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | SW5704
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License Number State | FL
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