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General NPI Number Information
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NPI Number | 1043612930
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Entity Type | Organization
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Legal Business Name | ALL AMERICAN PPEC LLC
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Dates
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Enumeration Date | 09/22/2014
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Last Update Date | 09/22/2014
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Provider Practice Location Address
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Address Line | 2810 HIGHWAY 77 SUITE A
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City | PANAMA CITY
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State | FL
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Zip | 32405-4479
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Country | US
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Telephone | 850-481-1444
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Fax |
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Provider Business Mailing Address
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Address Line | 2810 HIGHWAY 77 SUITE A
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City | PANAMA CITY
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State | FL
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Zip | 32405-4479
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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 | ADMINISTRATOR
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Name | MOHAMED ABDELLI
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Credential |
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Telephone | 850-960-5045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number | 60081009
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License Number State | FL
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