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General NPI Number Information
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NPI Number | 1679156905
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Entity Type | Individual
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Provider Name | HARRIET WINGROVE-QUARANTA MD
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Gender | Female
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Dates
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Enumeration Date | 05/04/2021
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | HCA FLORIDA GULF COAST HOSPITAL 449 W 23RD ST
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City | PANAMA CITY
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State | FL
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Zip | 32405
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Country | US
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Telephone | 850-769-8341
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Fax |
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Provider Business Mailing Address
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Address Line | 841 WIDEWATER CIR
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City | WEWAHITCHKA
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State | FL
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Zip | 32465-8310
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Country | US
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Telephone | 850-387-5313
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME165173
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License Number State | FL
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