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General NPI Number Information
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NPI Number | 1568420735
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Entity Type | Organization
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Legal Business Name | 4MD2 PHYSICIAN SERVICES OF FORT WALTON BEACH LLC
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 07/20/2007
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Provider Practice Location Address
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Address Line | 1000 MAR WALT DR
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-6708
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Country | US
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Telephone | 850-863-7607
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Fax | 205-437-5998
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Provider Business Mailing Address
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Address Line | PO BOX 88452
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City | CHICAGO
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State | IL
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Zip | 60680-1452
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Country | US
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Telephone | 205-437-6098
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Fax | 205-437-5998
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GUY DUWANE HOOPER
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Credential |
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Telephone | 205-437-6098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State | FL
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