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General NPI Number Information
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NPI Number | 1164777066
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Entity Type | Organization
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Legal Business Name | DECATUR GENERAL HOSPITAL
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Dates
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Enumeration Date | 07/17/2012
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 1201 7TH ST SE
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City | DECATUR
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State | AL
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Zip | 35601
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Country | US
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Telephone | 256-350-4855
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Fax | 256-350-4866
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Provider Business Mailing Address
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Address Line | PO BOX 2239
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City | DECATUR
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State | AL
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Zip | 35609-2239
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Country | US
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Telephone | 256-350-4855
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Fax | 256-350-4866
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Authorized Official
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Title or Position | CEO
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Name | DEAN A GRIFFIN
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Credential |
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Telephone | 256-341-2802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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