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General NPI Number Information
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NPI Number | 1023061496
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Entity Type | Organization
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Legal Business Name | CRESTWOOD HEALTHCARE LP
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 05/30/2023
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Provider Practice Location Address
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Address Line | 1 HOSPITAL DR SW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-6455
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Country | US
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Telephone | 256-882-3100
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Fax | 256-880-4246
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Provider Business Mailing Address
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Address Line | PO BOX 849007
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City | DALLAS
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State | TX
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Zip | 75284-9007
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Country | US
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Telephone | 256-882-3100
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Fax | 256-880-4246
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Authorized Official
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Title or Position | DIRECTOR
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Name | PAULA M LALOR
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Credential |
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Telephone | 629-215-3953
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QL0400X
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Taxonomy Name | Lithotripsy Clinic/Center
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License Number | H4501
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | H4501
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License Number State | AL
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