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General NPI Number Information
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NPI Number | 1639190390
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Entity Type | Organization
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Legal Business Name | FAMILY FIRST OF BAY COUNTY INC
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 2101 NORTHSIDE DR UNIT 701
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City | PANAMA CITY
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State | FL
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Zip | 32405-3685
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Country | US
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Telephone | 850-785-0040
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Fax | 850-785-5717
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Provider Business Mailing Address
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Address Line | 2101 NORTHSIDE DR UNIT 701
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City | PANAMA CITY
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State | FL
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Zip | 32405-3685
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Country | US
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Telephone | 850-785-0040
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Fax | 850-785-5717
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIA PARRIS
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Credential | D.O.
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Telephone | 850-785-0040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS008023
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License Number State | FL
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