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General NPI Number Information
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NPI Number | 1720078041
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Entity Type | Organization
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Legal Business Name | BAY COUNTY HEALTH SYSTEM, LLC
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 03/08/2021
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Provider Practice Location Address
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Address Line | 615 N BONITA AVE
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City | PANAMA CITY
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State | FL
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Zip | 32401-3623
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Country | US
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Telephone | 850-747-1511
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Fax | 850-747-6842
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Provider Business Mailing Address
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Address Line | 615 N BONITA AVE
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City | PANAMA CITY
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State | FL
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Zip | 32401-3623
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Country | US
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Telephone | 850-747-6045
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Fax | 850-763-8827
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Authorized Official
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Title or Position | CFO
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Name | STEPHAN FRANK QUIRICONI
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Credential |
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Telephone | 904-308-1258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 2896
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 3982
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License Number State | FL
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