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General NPI Number Information
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NPI Number | 1215801279
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Entity Type | Organization
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Legal Business Name | CENTER FOR PREVENTION AND TREATMENT OF INFECTIONS, P.A.
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 1900 SUMMIT BLVD
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City | PENSACOLA
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State | FL
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Zip | 32503-3359
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Country | US
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Telephone | 850-439-5681
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Fax | 850-439-5682
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Provider Business Mailing Address
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Address Line | 5147 N 9TH AVE STE 322
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City | PENSACOLA
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State | FL
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Zip | 32504-8710
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Country | US
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Telephone | 850-439-5681
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Fax | 850-439-5682
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | EVIE DUCKWORTH
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Credential |
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Telephone | 850-478-1312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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