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General NPI Number Information
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NPI Number | 1912050162
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Entity Type | Organization
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Legal Business Name | MEDICAL SERVICES OF NORTHWEST FLORIDA
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 17208 BACK BEACH ROAD
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City | PANAMA CITY
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State | FL
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Zip | 32413
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Country | US
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Telephone | 850-233-3384
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Fax | 850-233-2701
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Provider Business Mailing Address
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Address Line | 8974 NAVARRE PKWY
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City | NAVARRE
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State | FL
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Zip | 32566-2157
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Country | US
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Telephone | 850-936-0400
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Fax | 850-936-0450
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Authorized Official
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Title or Position | BOOKKEEPER
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Name | NELDA STEINBECK
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Credential |
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Telephone | 850-936-0400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HHA21831096
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License Number State | FL
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