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General NPI Number Information
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NPI Number | 1205122272
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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 | 06/28/2011
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Last Update Date | 06/29/2011
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Provider Practice Location Address
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Address Line | 1215 7TH ST SE SUITE 140
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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 | 256-260-1909
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Fax | 256-350-4866
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Provider Business Mailing Address
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Address Line | P O BOX 2239
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City | DECATUR
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State | AL
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Zip | 35609
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Country | US
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Telephone | 256-260-1909
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Fax | 256-350-4866
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Authorized Official
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Title or Position | DIRECTOR OF PHYSICIAN PRACTICES
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Name | MS. DARCELL ROBINSON
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Credential |
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Telephone | 256-260-1909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 27710
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License Number State | AL
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