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General NPI Number Information
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NPI Number | 1447961982
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Entity Type | Individual
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Provider Name | LATONYA PURIFOY
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Gender | Female
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 121 2ND ST APT 2205
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City | CENTURY
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State | FL
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Zip | 32535-3037
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Country | US
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Telephone | 850-512-3473
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Fax |
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Provider Business Mailing Address
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Address Line | 2216 W STRONG ST
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City | PENSACOLA
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State | FL
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Zip | 32505-7122
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Country | US
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Telephone | 850-221-4171
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246RP1900X
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Taxonomy Name | Phlebotomy Technician
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License Number |
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License Number State |
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