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General NPI Number Information
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NPI Number | 1184691610
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Entity Type | Organization
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Legal Business Name | CAPE CANAVERAL HOSPITAL, INC.
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Dates
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Enumeration Date | 03/03/2006
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 701 W COCOA BEACH CSWY
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City | COCOA BEACH
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State | FL
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Zip | 32931-3585
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Country | US
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Telephone | 321-799-7111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 749202
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City | ATLANTA
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State | GA
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Zip | 30374-9202
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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 | EVP CFO
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Name | KRISTEN PULIO
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Credential |
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Telephone | 321-434-5651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 3948
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License Number State | FL
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