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General NPI Number Information
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NPI Number | 1518861467
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Entity Type | Organization
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Legal Business Name | PALMETTO AGENCY INC.
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 1835 SUMMIT BLVD
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City | PENSACOLA
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State | FL
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Zip | 32503-3356
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Country | US
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Telephone | 850-281-7506
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Fax |
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Provider Business Mailing Address
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Address Line | 222 BAYOU BLVD
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City | PENSACOLA
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State | FL
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Zip | 32503-6324
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ZYQUIRA BLANKENSHIP
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Credential |
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Telephone | 850-281-7506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State | NULL
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