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General NPI Number Information
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NPI Number | 1346287182
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Entity Type | Organization
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Legal Business Name | COGENT HEALTHCARE OF PENSACOLA LLC
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 1350 13TH AVE S
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-3203
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Country | US
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Telephone | 904-376-4182
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Fax |
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Provider Business Mailing Address
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Address Line | 120 BRENTWOOD COMMONS WAY STE 510
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City | BRENTWOOD
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State | TN
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Zip | 37027-2028
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Country | US
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Telephone | 253-682-6040
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LAURA FALL
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Credential |
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Telephone | 253-682-6040
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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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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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