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General NPI Number Information
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NPI Number | 1801301122
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Entity Type | Organization
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Legal Business Name | ABSOLUTE OBGYN LLC
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Dates
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Enumeration Date | 12/08/2017
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 1118 GULF BREEZE PKWY STE 201
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City | GULF BREEZE
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State | FL
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Zip | 32561-7803
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Country | US
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Telephone | 850-916-1872
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Fax |
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Provider Business Mailing Address
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Address Line | 1118 GULF BREEZE PKWY STE 201
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City | GULF BREEZE
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State | FL
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Zip | 32561-7803
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAREN KENNEDY
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Credential | MD
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Telephone | 850-916-1872
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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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