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General NPI Number Information
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NPI Number | 1194629113
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Entity Type | Organization
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Legal Business Name | HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 603 WHEAT AVE STE 700
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City | BAINBRIDGE
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State | GA
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Zip | 39819-4369
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Country | US
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Telephone | 229-243-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 603 WHEAT AVE STE 700
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City | BAINBRIDGE
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State | GA
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Zip | 39819-4369
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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 | AUTHORIZED OFFICIAL
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Name | KAREN FAIRCLOTH
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Credential |
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Telephone | 229-243-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | NULL
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