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General NPI Number Information
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NPI Number | 1629301841
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Entity Type | Organization
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Legal Business Name | NORTH FLORIDA PAIN MEDICINE
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Dates
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Enumeration Date | 09/08/2009
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Last Update Date | 09/08/2009
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Provider Practice Location Address
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Address Line | 4601 N 9TH AVE
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City | PENSACOLA
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State | FL
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Zip | 32503-2443
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Country | US
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Telephone | 850-433-6918
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Fax | 850-433-8641
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Provider Business Mailing Address
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Address Line | 4601 N 9TH AVE
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City | PENSACOLA
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State | FL
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Zip | 32503-2443
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Country | US
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Telephone | 850-433-6918
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Fax | 850-433-8641
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT MORRIS SACKHEIM
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Credential | M.D.
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Telephone | 850-433-6918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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