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General NPI Number Information
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NPI Number | 1609146760
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Entity Type | Organization
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Legal Business Name | PENSACOLA FAMILY PRACTICE
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Dates
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Enumeration Date | 01/06/2012
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Last Update Date | 01/06/2012
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Provider Practice Location Address
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Address Line | 5500 N DAVIS HWY STE 3
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City | PENSACOLA
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State | FL
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Zip | 32503-2063
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Country | US
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Telephone | 850-288-5500
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Fax | 850-288-5502
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Provider Business Mailing Address
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Address Line | 5500 N DAVIS HWY STE 3
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City | PENSACOLA
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State | FL
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Zip | 32503-2063
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Country | US
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Telephone | 850-288-5500
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Fax | 850-288-5502
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Authorized Official
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Title or Position | M.D./OWNER
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Name | DR. JOUMANA SARKHOCHE
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Credential | M.D.
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Telephone | 850-288-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME77523
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License Number State | FL
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