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General NPI Number Information
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NPI Number | 1144548793
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Entity Type | Organization
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Legal Business Name | EMERALD COAST HOSPITALIST INC
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Dates
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Enumeration Date | 05/06/2010
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Last Update Date | 01/27/2014
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Provider Practice Location Address
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Address Line | 653 W 23RD ST UNIT/PMB 244
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City | PANAMA CITY
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State | FL
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Zip | 32405-3922
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Country | US
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Telephone | 850-215-2337
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Fax | 850-215-2844
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Provider Business Mailing Address
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Address Line | 653 W 23RD ST UNIT/PMB 244
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City | PANAMA CITY
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State | FL
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Zip | 32405-3922
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Country | US
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Telephone | 850-215-2337
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Fax | 850-215-2844
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Authorized Official
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Title or Position | MD
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Name | HEIN DAO
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Credential | MD
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Telephone | 850-585-5753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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