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General NPI Number Information
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NPI Number | 1558391771
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Entity Type | Organization
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Legal Business Name | ASCENSION SACRED HEART EMERALD COAST
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 03/03/2021
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Provider Practice Location Address
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Address Line | 7800 US HIGHWAY 98 W
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City | MIRAMAR BEACH
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State | FL
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Zip | 32550-7228
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Country | US
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Telephone | 850-278-3001
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Fax | 850-278-3010
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Provider Business Mailing Address
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Address Line | 7928 SOLUTION CTR LOCKBOX 777928
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City | CHICAGO
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State | IL
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Zip | 60677-7009
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Country | US
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Telephone | 850-278-3199
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Fax | 850-416-7453
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Authorized Official
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Title or Position | COO
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Name | MS. COBA SUSAN CORNEJO
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Credential |
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Telephone | 850-416-6206
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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 |
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License Number State |
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