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General NPI Number Information
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NPI Number | 1649543182
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Entity Type | Organization
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Legal Business Name | BAPTIST MEDICAL GROUP LLC
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Dates
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Enumeration Date | 02/14/2012
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 125 BAPTIST WAY STE 4A
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City | PENSACOLA
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State | FL
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Zip | 32503-2274
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Country | US
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Telephone | 448-227-6480
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Fax | 850-469-7849
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Provider Business Mailing Address
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Address Line | 125 BAPTIST WAY STE 6A
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City | PENSACOLA
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State | FL
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Zip | 32503-2274
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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 | DELEGATED OFFICIAL
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Name | SHARON CREECH
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Credential |
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Telephone | 850-475-3726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number |
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License Number State |
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