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General NPI Number Information
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NPI Number | 1245241306
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Entity Type | Organization
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Legal Business Name | PLANNED PARENTHOOD OF NORTHEAST FLORIDA, INC
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3850 BEACH BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32207-4757
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Country | US
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Telephone | 904-399-2800
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Fax | 904-399-2333
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Provider Business Mailing Address
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Address Line | 3850 BEACH BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32207-4757
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Country | US
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Telephone | 904-399-2800
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Fax | 904-399-2333
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. HERMAN MILLER JR.
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Credential | MEDICAL DOCTOR
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Telephone | 904-399-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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