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General NPI Number Information
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NPI Number | 1760748024
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Entity Type | Organization
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Legal Business Name | BAY MEDICAL CENTER
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 05/09/2012
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Provider Practice Location Address
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Address Line | 518 MARTIN LUTHER KING JR BLVD
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City | PANAMA CITY
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State | FL
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Zip | 32401-3626
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Country | US
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Telephone | 850-747-6166
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Fax | 850-747-6842
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Provider Business Mailing Address
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Address Line | 518 MARTIN LUTHER KING JR. BLVD
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City | PANAMA CITY
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State | FL
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Zip | 32401
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Country | US
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Telephone | 850-747-6166
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Fax | 850-747-6842
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Authorized Official
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Title or Position | CHAIRMAN
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Name | MR. DONALD P CONNOR
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Credential |
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Telephone | 850-867-6317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 3413
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License Number State | FL
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