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General NPI Number Information
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NPI Number | 1538438007
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Entity Type | Organization
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Legal Business Name | ROBERT D FLURRY MD PA
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Dates
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Enumeration Date | 12/29/2011
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Last Update Date | 08/26/2015
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Provider Practice Location Address
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Address Line | 9290 BALDRIDGE RD
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City | PENSACOLA
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State | FL
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Zip | 32514-5505
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Country | US
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Telephone | 850-472-0123
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Fax | 850-472-0122
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Provider Business Mailing Address
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Address Line | 9290 BALDRIDGE RD
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City | PENSACOLA
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State | FL
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Zip | 32514-5505
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Country | US
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Telephone | 850-472-0123
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Fax | 850-472-0122
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT D FLURRY
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Credential | M.D.
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Telephone | 850-472-0123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | ME58950
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License Number State | FL
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