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General NPI Number Information
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NPI Number | 1366438012
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Entity Type | Organization
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Legal Business Name | CENTER FOR SIGHT OF NORTHWEST FLORIDA PA
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Dates
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Enumeration Date | 09/27/2005
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 6190 N DAVIS HWY
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City | PENSACOLA
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State | FL
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Zip | 32504-6969
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Country | US
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Telephone | 850-476-9236
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Fax | 850-476-2059
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Provider Business Mailing Address
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Address Line | 6190 N DAVIS HWY
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City | PENSACOLA
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State | FL
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Zip | 32504-6969
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Country | US
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Telephone | 850-476-9236
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Fax | 850-471-0557
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Authorized Official
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Title or Position | CHIEF REVENUE CYCLE OFFICER
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Name | CANDICE B DAVIS
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Credential |
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Telephone | 916-990-7590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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