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General NPI Number Information
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NPI Number | 1609823194
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Entity Type | Organization
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Legal Business Name | SACRED HEART HEALTH SYSTEM INC
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 213 E WRIGHT ST
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City | PENSACOLA
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State | FL
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Zip | 32501-4917
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Country | US
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Telephone | 850-470-9288
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Fax | 850-470-9130
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Provider Business Mailing Address
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Address Line | 213 E WRIGHT ST
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City | PENSACOLA
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State | FL
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Zip | 32501-4917
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Country | US
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Telephone | 850-470-9288
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Fax | 850-470-9130
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. JANET FRY
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Credential |
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Telephone | 850-470-9288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HHA299990987
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1018
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 2006-004168
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | PH-0015794
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 112391
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License Number State | AL
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Taxonomy #6
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HHA20476096
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License Number State | FL
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