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General NPI Number Information
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NPI Number | 1508017054
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE HEALTH CONSULTANTS OF NORTHWEST FLORIDA PA
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 1040 GULF BREEZE PKWY SUITE 208
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City | GULF BREEZE
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State | FL
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Zip | 32561-7809
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Country | US
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Telephone | 850-473-9434
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Fax | 850-916-8759
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Provider Business Mailing Address
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Address Line | 1040 GULF BREEZE PKWY SUITE 208
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City | GULF BREEZE
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State | FL
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Zip | 32561-7809
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Country | US
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Telephone | 850-473-9434
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Fax | 850-916-8759
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD ARTIS BEACH
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Credential | M.D.
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Telephone | 850-473-9434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number | ME40286
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License Number State | FL
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