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General NPI Number Information
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NPI Number | 1861626236
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Entity Type | Organization
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Legal Business Name | GULF COAST CHILDREN'S ADVOCACY CENTER INC.
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Dates
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Enumeration Date | 05/13/2009
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Last Update Date | 05/13/2009
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Provider Practice Location Address
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Address Line | 700 W 23RD ST BUILDING E SUITE 40
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City | PANAMA CITY
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State | FL
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Zip | 32405-3936
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Country | US
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Telephone | 850-872-7760
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Fax | 850-872-7780
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Provider Business Mailing Address
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Address Line | 700 W 23RD ST BUILDING E SUITE 40
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City | PANAMA CITY
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State | FL
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Zip | 32405-3936
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Country | US
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Telephone | 850-872-7760
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Fax | 850-872-7780
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JARRED LAMAR HOBBS
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Credential |
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Telephone | 850-872-7760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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