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General NPI Number Information
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NPI Number | 1063105005
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Entity Type | Organization
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Legal Business Name | HH HEALTH SYSTEM - JACKSON LLC
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Dates
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Enumeration Date | 05/26/2023
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Last Update Date | 05/26/2023
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Provider Practice Location Address
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Address Line | 1108 S BROAD ST STE A
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City | SCOTTSBORO
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State | AL
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Zip | 35768-2514
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Country | US
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Telephone | 256-218-3230
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Fax | 256-218-3249
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Provider Business Mailing Address
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Address Line | PO BOX 1050
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City | SCOTTSBORO
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State | AL
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Zip | 35768-1050
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JOHN CARRIER
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Credential |
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Telephone | 256-218-3680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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