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NPI 1730503905

NPI 1730503905 : RULE ONE LLC : PENSACOLA, FL

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General NPI Number Information
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    NPI Number           |    1730503905
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    Entity Type          |    Organization 
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    Legal Business Name  |    RULE ONE LLC 
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Dates
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    Enumeration Date     |    02/09/2014
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    Last Update Date     |    05/15/2025
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Provider Practice Location Address
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    Address Line         |    4400 BAYOU BLVD STE 36 
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    City                 |    PENSACOLA
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    State                |    FL
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    Zip                  |    32503-2682
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    Country              |    US
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    Telephone            |    850-416-5124
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    Fax                  |    850-416-2539
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Provider Business Mailing Address
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    Address Line         |    4400 BAYOU BLVD STE 36 
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    City                 |    PENSACOLA
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    State                |    FL
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    Zip                  |    32503-2682
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    Country              |    US
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    Telephone            |    850-416-5124
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    Fax                  |    850-416-2539
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Authorized Official
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    Title or Position    |    MANAGING PARTNER
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    Name                 |    DR. JAIRAN LOIS DUKE-ELMORE 
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    Credential           |    DO
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    Telephone            |    850-501-7834
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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    License Number       |    
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    License Number State |    
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