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General NPI Number Information
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NPI Number | 1952177446
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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 | 11/27/2023
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 5149 N 9TH AVE STE G32
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City | PENSACOLA
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State | FL
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Zip | 32504-8733
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Country | US
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Telephone | 850-416-0086
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Fax |
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Provider Business Mailing Address
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Address Line | 1657 TRINITY DR
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City | PENSACOLA
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State | FL
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Zip | 32504-5708
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Country | US
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Telephone | 850-416-0086
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Fax |
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Authorized Official
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Title or Position | ENROLLMENT MANAGER
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Name | MIRANDA HEMM
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Credential |
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Telephone | 904-450-6004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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