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General NPI Number Information
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NPI Number | 1285981548
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Entity Type | Organization
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Legal Business Name | SACRED HEART HEALTH SYSTEM
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Dates
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Enumeration Date | 08/06/2012
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Last Update Date | 08/06/2012
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Provider Practice Location Address
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Address Line | 13137 SORRENTO RD
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City | PENSACOLA
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State | FL
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Zip | 32507-8777
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Country | US
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Telephone | 850-416-0025
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Fax | 850-487-9830
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Provider Business Mailing Address
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Address Line | 13137 SORRENTO RD
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City | PENSACOLA
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State | FL
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Zip | 32507-8777
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Country | US
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Telephone | 850-416-0025
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Fax | 850-487-9830
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Authorized Official
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Title or Position | PHYSICAL THERAPIST ASSISTANT
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Name | LINDA SUE ROSE
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Credential |
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Telephone | 850-416-0025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | PTA22127
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License Number State | FL
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