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General NPI Number Information
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NPI Number | 1104530963
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Entity Type | Organization
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Legal Business Name | THE BIBB COUNTY HEALTH CARE AUTHORITY
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Dates
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Enumeration Date | 01/06/2023
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Last Update Date | 01/06/2023
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Provider Practice Location Address
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Address Line | 208 PIERSON AVE
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City | CENTREVILLE
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State | AL
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Zip | 35042-2918
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Country | US
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Telephone | 205-926-3277
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Fax |
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Provider Business Mailing Address
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Address Line | 208 PIERSON AVE
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City | CENTREVILLE
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State | AL
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Zip | 35042-2918
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Country | US
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Telephone | 205-926-3281
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Fax |
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Authorized Official
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Title or Position | VICE-PRESIDENT/CFO
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Name | HEATHER DESMOND
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Credential |
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Telephone | 205-926-3281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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