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General NPI Number Information
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NPI Number | 1508054594
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Entity Type | Organization
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Legal Business Name | ACCESS MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 4400 E HIGHWAY 20 STE 203
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City | NICEVILLE
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State | FL
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Zip | 32578-7700
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Country | US
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Telephone | 850-897-1824
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Fax | 850-897-1827
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Provider Business Mailing Address
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Address Line | 4400 E HIGHWAY 20 STE 203
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City | NICEVILLE
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State | FL
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Zip | 32578-7700
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Country | US
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Telephone | 850-897-1824
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Fax | 850-897-1827
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Authorized Official
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Title or Position | BUSINESS DIRECTOR
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Name | JOSEPH RAPA
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Credential |
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Telephone | 850-226-2895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME0029230
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License Number State | FL
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