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General NPI Number Information
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NPI Number | 1366773566
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Entity Type | Organization
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Legal Business Name | NW FLORIDA EMERGENCY PHYSICIANS LLC
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Dates
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Enumeration Date | 01/28/2010
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Last Update Date | 05/10/2010
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Provider Practice Location Address
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Address Line | 6002 BERRYHILL RD
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City | MILTON
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State | FL
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Zip | 32570-5062
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Country | US
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Telephone | 850-626-7762
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 534600
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City | ATLANTA
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State | GA
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Zip | 30353-4600
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Country | US
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Telephone | 800-514-1494
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Fax | 904-805-1312
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. SARAH C.H. CRASS
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Credential |
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Telephone | 904-805-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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