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General NPI Number Information
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NPI Number | 1194408005
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Entity Type | Organization
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Legal Business Name | WH SERVICES BREWTON LLC
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Dates
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Enumeration Date | 08/08/2023
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 1301 BELLEVILLE AVE
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City | BREWTON
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State | AL
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Zip | 36426-1306
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Country | US
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Telephone | 251-867-8061
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 222071
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City | DALLAS
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State | TX
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Zip | 75222-2071
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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 | CEO
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Name | DAVID M DAVIS III
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Credential |
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Telephone | 469-364-3310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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