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NPI 1861562886

NPI 1861562886 : SACRED HEART HEALTH SYSTEM, INC. : PENSACOLA, FL

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General NPI Number Information
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    NPI Number           |    1861562886
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    Entity Type          |    Organization 
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    Legal Business Name  |    SACRED HEART HEALTH SYSTEM, INC. 
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Dates
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    Enumeration Date     |    11/08/2006
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    Last Update Date     |    09/01/2025
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Provider Practice Location Address
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    Address Line         |    5045 CARPENTER CREEK DR 
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    City                 |    PENSACOLA
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    State                |    FL
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    Zip                  |    32503-2521
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    Country              |    US
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    Telephone            |    850-377-1334
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    Fax                  |    888-249-2325
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Provider Business Mailing Address
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    Address Line         |    5045 CARPENTER CREEK DR 
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    City                 |    PENSACOLA
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    State                |    FL
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    Zip                  |    32503-2521
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    Country              |    US
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    Telephone            |    850-377-1334
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    Fax                  |    888-249-2325
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Authorized Official
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    Title or Position    |    CLINICAL PROGRAM DIR - EARLY STEPS
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    Name                 |    MR. STEPHEN  STEARLY 
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    Credential           |    MS
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    Telephone            |    509-599-1878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    252Y00000X
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    Taxonomy Name        |    Early Intervention Provider Agency
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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        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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