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General NPI Number Information
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NPI Number | 1295922086
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Entity Type | Organization
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Legal Business Name | ALBERT F MAPP JR M D P A
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 09/26/2007
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Provider Practice Location Address
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Address Line | 489 N TYNDALL PKWY
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City | PANAMA CITY
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State | FL
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Zip | 32404-6126
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Country | US
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Telephone | 850-763-5689
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Fax | 850-913-8046
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Provider Business Mailing Address
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Address Line | 489 N TYNDALL PKWY
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City | PANAMA CITY
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State | FL
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Zip | 32404-6126
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Country | US
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Telephone | 850-763-5689
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Fax | 850-913-8046
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Authorized Official
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Title or Position | OWNER
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Name | ALBERT F MAPP JR.
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Credential | MD
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Telephone | 850-763-5689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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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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