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General NPI Number Information
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NPI Number | 1689998940
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Entity Type | Organization
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Legal Business Name | PANAMA CITY PULMONARY LLC
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Dates
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Enumeration Date | 03/16/2010
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Last Update Date | 11/05/2018
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Provider Practice Location Address
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Address Line | 1005 MAR WALT DRIVE PULMONOLOGY DEPARTMENT
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-6707
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Country | US
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Telephone | 850-243-0118
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Fax | 850-243-0594
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Provider Business Mailing Address
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Address Line | 1005 MAR WALT DR
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-6707
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Country | US
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Telephone | 850-243-0118
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Fax | 850-243-0594
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ANGEL ARTURO NUNEZ
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Credential | M.D.
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Telephone | 850-243-0118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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