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General NPI Number Information
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NPI Number | 1437542909
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Entity Type | Organization
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Legal Business Name | ANDREW S MARKOVITS
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Dates
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Enumeration Date | 03/09/2015
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Last Update Date | 03/09/2015
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Provider Practice Location Address
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Address Line | 905 N NAVY BLVD
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City | PENSACOLA
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State | FL
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Zip | 32507-1274
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Country | US
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Telephone | 850-457-3753
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Fax | 850-457-0200
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Provider Business Mailing Address
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Address Line | 905 N NAVY BLVD
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City | PENSACOLA
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State | FL
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Zip | 32507-1274
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Country | US
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Telephone | 850-457-3753
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Fax | 850-457-0200
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Authorized Official
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Title or Position | ASSISTANT MANAGER
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Name | MS. DEBBIE ADCOCK
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Credential | COA
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Telephone | 850-457-3753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | ME0039494
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License Number State | FL
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