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General NPI Number Information
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NPI Number | 1083663579
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Entity Type | Organization
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Legal Business Name | FORT PAYNE HOSPITAL ORGANIZATION
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 200 MEDICAL CENTRE DR.
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City | FORT PAYNE
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State | AL
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Zip | 35968
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Country | US
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Telephone | 256-845-3150
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Fax |
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Provider Business Mailing Address
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Address Line | 330 FRANKLIN RD
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City | BRENTWOOD
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State | TN
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Zip | 37027-3280
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Country | US
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Telephone | 615-309-3300
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Fax | 615-309-3338
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Authorized Official
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Title or Position | SR. VP
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Name | DAVID L. MILLER
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Credential |
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Telephone | 615-465-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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