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General NPI Number Information
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NPI Number | 1801407291
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Entity Type | Organization
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Legal Business Name | PATIENT FOCUS PHYSICIANS ASSOCIATES INC
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 09/28/2020
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Provider Practice Location Address
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Address Line | 101 CENTURY 21 DR
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City | JACKSONVILLE
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State | FL
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Zip | 32216-8115
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Country | US
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Telephone | 904-821-7372
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Fax |
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Provider Business Mailing Address
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Address Line | 101 CENTURY 21 DR
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City | JACKSONVILLE
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State | FL
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Zip | 32216-8115
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Country | US
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Telephone | 904-821-7372
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | GABRIEL ADEMILOYE
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Credential |
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Telephone | 904-821-7372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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