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General NPI Number Information
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NPI Number | 1215948096
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Entity Type | Organization
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Legal Business Name | PANHANDLE EMERGENCY PHYSICIANS A DIV OF SACRED HEART HOSP PENSACOLA
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 08/30/2019
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Provider Practice Location Address
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Address Line | 5151 N 9TH AVE ER
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City | PENSACOLA
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State | FL
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Zip | 32504-8721
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Country | US
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Telephone | 850-416-7000
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Fax | 850-416-4694
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Provider Business Mailing Address
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Address Line | PO BOX 2699
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City | PENSACOLA
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State | FL
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Zip | 32513-2699
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Country | US
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Telephone | 850-475-4500
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Fax | 850-475-4781
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Authorized Official
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Title or Position | MGR; HEALTHPLAN ENROLLMENT
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Name | MS. RONDA MICHELLE BOND
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Credential |
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Telephone | 850-475-4682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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