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General NPI Number Information
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NPI Number | 1215275946
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Entity Type | Organization
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Legal Business Name | NORTH FLORIDA FAMILY HEALTHCARE
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Dates
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Enumeration Date | 01/31/2013
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Last Update Date | 05/05/2014
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Provider Practice Location Address
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Address Line | 2916 MADISON ST
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City | MARIANNA
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State | FL
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Zip | 32446-3450
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Country | US
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Telephone | 850-372-4441
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Fax | 850-372-4443
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Provider Business Mailing Address
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Address Line | PO BOX 835
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City | CHIPLEY
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State | FL
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Zip | 32428-0835
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Country | US
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Telephone | 850-372-4441
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Fax | 850-372-4443
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Authorized Official
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Title or Position | OWNER
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Name | VALDEE HARMON-SHEFFIELD
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Credential | M.D.
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Telephone | 850-867-1991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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