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General NPI Number Information
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NPI Number | 1568178457
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Entity Type | Organization
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Legal Business Name | SCI HEALTH METRICS INC
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Dates
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Enumeration Date | 01/25/2023
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Last Update Date | 05/24/2023
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Provider Practice Location Address
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Address Line | 2715 WILDE LAKE BLVD
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City | PENSACOLA
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State | FL
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Zip | 32526-8715
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Country | US
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Telephone | 850-207-0848
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Fax |
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Provider Business Mailing Address
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Address Line | 2715 WILDE LAKE BLVD
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City | PENSACOLA
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State | FL
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Zip | 32526-8715
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Country | US
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Telephone | 850-207-0848
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CHIEF EXECUTIVE OFFICER
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Name | DR. JACK D GIDDINS
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Credential |
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Telephone | 850-207-0848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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