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General NPI Number Information
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NPI Number | 1487462776
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Entity Type | Organization
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Legal Business Name | PEOPLES HOSPICE AND PALLIATIVE CARE OF NW FLORIDA LLC
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Dates
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Enumeration Date | 12/19/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 221 E 23RD ST STE F
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City | PANAMA CITY
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State | FL
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Zip | 32405-4557
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Country | US
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Telephone | 850-696-0911
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Fax |
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Provider Business Mailing Address
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Address Line | 213 E WRIGHT ST STE B
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City | PENSACOLA
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State | FL
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Zip | 32501-4917
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Country | US
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Telephone | 850-696-0911
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Fax | 850-475-0690
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Authorized Official
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Title or Position | VP-FINANCE
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Name | MS. DEBORAH L MAZZOLA
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Credential |
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Telephone | 850-696-0911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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