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General NPI Number Information
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NPI Number | 1306797121
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Entity Type | Organization
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Legal Business Name | SANTA ROSA HMA PHYSICIAN MANAGEMENT LLC
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 6072 DOCTORS PARK
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City | MILTON
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State | FL
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Zip | 32570-5072
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Country | US
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Telephone | 850-626-5447
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Fax | 850-936-5808
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Provider Business Mailing Address
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Address Line | PO BOX 689022
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City | FRANKLIN
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State | TN
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Zip | 37068-9022
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Country | US
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Telephone | 615-465-7429
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Fax | 615-628-6877
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Authorized Official
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Title or Position | DIRECTOR PROVIDER ENROLLMENT
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Name | KRISTY MUSIC
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Credential |
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Telephone | 615-465-7377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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