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General NPI Number Information
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NPI Number | 1902879786
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Entity Type | Organization
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Legal Business Name | FLORIDA DEPARTMENT OF HEALTH
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 12/30/2014
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Provider Practice Location Address
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Address Line | 139 12TH ST
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City | APALACHICOLA
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State | FL
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Zip | 32320-2110
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Country | US
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Telephone | 850-653-2111
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Fax | 850-653-1727
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Provider Business Mailing Address
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Address Line | 2475 GARRISON AVE
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City | PORT ST JOE
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State | FL
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Zip | 32456-5265
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Country | US
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Telephone | 850-227-1276
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Fax | 850-227-7587
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Authorized Official
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Title or Position | CONTRACT MANAGER
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Name | MS. DEBRA J FISCHER
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Credential |
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Telephone | 850-227-1276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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