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General NPI Number Information
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NPI Number | 1518024462
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Entity Type | Organization
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Legal Business Name | BAPTIST MEDICAL CENTER OF NASSAU INC
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 06/02/2022
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Provider Practice Location Address
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Address Line | 1250 S 18TH ST
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-1902
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Country | US
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Telephone | 904-376-4182
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Fax | 904-376-4280
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Provider Business Mailing Address
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Address Line | PO BOX 44114
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City | JACKSONVILLE
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State | FL
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Zip | 32231-4114
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Country | US
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Telephone | 904-376-4182
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Fax | 904-376-4280
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Authorized Official
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Title or Position | CHIEF REVENUE OFFICER
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Name | PHILIP BOYCE
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Credential |
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Telephone | 904-376-3760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 4355
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License Number State | FL
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