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General NPI Number Information
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NPI Number | 1679460216
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL MEDICAL CONSULTANTS, PLLC
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 698 BRENT LN
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City | PENSACOLA
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State | FL
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Zip | 32503-2104
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Country | US
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Telephone | 850-898-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 698 BRENT LN
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City | PENSACOLA
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State | FL
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Zip | 32503-2104
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Country | US
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Telephone | 850-898-1800
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NICOLE ELISE PATE
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Credential |
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Telephone | 850-898-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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