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General NPI Number Information
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NPI Number | 1326011982
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Entity Type | Organization
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Legal Business Name | WAKULLA COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 48 OAK ST
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City | CRAWFORDVILLE
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State | FL
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Zip | 32327-2085
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Country | US
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Telephone | 850-926-3591
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Fax | 850-926-2178
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Provider Business Mailing Address
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Address Line | 48 OAK ST
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City | CRAWFORDVILLE
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State | FL
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Zip | 32327-2085
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Country | US
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Telephone | 850-926-3591
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Fax | 850-926-2178
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Authorized Official
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Title or Position | FISCAL ASSISTANT
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Name | MRS. LESLIE LAVERNE YEOMANS
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Credential |
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Telephone | 850-926-3591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 47-00-040325-52C
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License Number State | FL
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