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General NPI Number Information
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NPI Number | 1578991212
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Entity Type | Organization
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Legal Business Name | NORTH FLORIDA PERINATAL ASSOCIATES, INC
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Dates
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Enumeration Date | 10/16/2013
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 2202 STATE AVE SUITE 103
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City | PANAMA CITY
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State | FL
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Zip | 32405-4590
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Country | US
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Telephone | 855-249-6872
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 452016
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City | SUNRISE
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State | FL
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Zip | 33345-2016
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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 | OFFICER
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Name | KATHLEEN KONDAS
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Credential |
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Telephone | 877-328-1119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number |
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License Number State |
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