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General NPI Number Information
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NPI Number | 1891768123
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Entity Type | Organization
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Legal Business Name | GASTROENTEROLOGY ASSOCIATES OF PENSACOLA PA
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 02/28/2018
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Provider Practice Location Address
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Address Line | 5147 N 9TH AVE STE 311
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City | PENSACOLA
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State | FL
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Zip | 32504-8770
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Country | US
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Telephone | 850-477-2597
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Fax | 850-478-7941
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Provider Business Mailing Address
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Address Line | 4828 N DAVIS HWY
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City | PENSACOLA
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State | FL
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Zip | 32503-2341
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Country | US
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Telephone | 850-477-8109
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Fax | 850-476-5313
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Authorized Official
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Title or Position | ADMINISTRATOR/CFO
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Name | MR. STEPHEN DUNN
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Credential |
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Telephone | 850-474-8988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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