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General NPI Number Information
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NPI Number | 1194896712
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Entity Type | Organization
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Legal Business Name | BETHANY HOUSE OF EAST ALABAMA MEDICAL CENTER
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1171 GATEWOOD DR
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City | AUBURN
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State | AL
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Zip | 36830-1817
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Country | US
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Telephone | 334-826-0032
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Fax | 334-826-1602
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Provider Business Mailing Address
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Address Line | 1171 GATEWOOD DR
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City | AUBURN
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State | AL
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Zip | 36830-1817
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Country | US
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Telephone | 334-826-0032
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Fax | 334-826-1602
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. CAROL P MURPHEY
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Credential | R.N.
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Telephone | 334-826-1899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number | 11693
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License Number State | AL
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