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General NPI Number Information
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NPI Number | 1265605257
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Entity Type | Organization
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Legal Business Name | JANICE M HUDSON MD FAMILY MEDICINE PLLC
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Dates
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Enumeration Date | 04/10/2008
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 1337 COUNTRY CLUB RD
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City | GULF BREEZE
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State | FL
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Zip | 32563-3451
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Country | US
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Telephone | 850-934-3256
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Fax | 850-934-9680
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Provider Business Mailing Address
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Address Line | PO BOX 30201
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City | PENSACOLA
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State | FL
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Zip | 32503-1201
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Country | US
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Telephone | 850-934-3256
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Fax | 850-934-9680
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Authorized Official
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Title or Position | OWNER
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Name | JANICE M HUDSON
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Credential | MD
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Telephone | 850-934-3256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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