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General NPI Number Information
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NPI Number | 1851184261
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Entity Type | Organization
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Legal Business Name | SOUTHERN PERINATAL RN CO LLC
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 207 ABERDEEN PKWY
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City | PANAMA CITY
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State | FL
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Zip | 32405-6457
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Country | US
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Telephone | 850-348-5254
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Fax |
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Provider Business Mailing Address
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Address Line | 508B FLORIDA AVE
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City | LYNN HAVEN
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State | FL
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Zip | 32444-1736
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Country | US
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Telephone | 850-348-5254
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | MARLEE ALAYNA SHALING
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Credential | BSN, RN
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Telephone | 850-851-9833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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