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General NPI Number Information
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NPI Number | 1124009477
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Entity Type | Organization
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Legal Business Name | PENSACOLA PULMONARY ASSOCIATES P.A.
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Dates
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Enumeration Date | 11/11/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8333 N DAVIS HWY SUITE 6005
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City | PENSACOLA
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State | FL
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Zip | 32514-6050
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Country | US
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Telephone | 850-471-8454
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Fax | 850-471-3410
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Provider Business Mailing Address
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Address Line | PO BOX 11515
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City | PENSACOLA
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State | FL
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Zip | 32524-1515
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Country | US
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Telephone | 850-471-8454
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Fax | 850-471-3410
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK PETER SCOTT
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Credential | M.D.
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Telephone | 850-471-8454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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