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NPI 1215279385

NPI 1215279385 : CENTRAL BALDWIN SITTING SERVICE : FOLEY, AL

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General NPI Number Information
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    NPI Number           |    1215279385
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    Entity Type          |    Organization 
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    Legal Business Name  |    CENTRAL BALDWIN SITTING SERVICE 
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Dates
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    Enumeration Date     |    03/26/2013
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    Last Update Date     |    03/26/2013
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Provider Practice Location Address
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    Address Line         |    812 ASHLAND DR 
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    City                 |    FOLEY
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    State                |    AL
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    Zip                  |    36535-3352
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    Country              |    US
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    Telephone            |    251-979-6846
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    812 ASHLAND DR 
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    City                 |    FOLEY
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    State                |    AL
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    Zip                  |    36535-3352
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    Country              |    US
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    Telephone            |    251-979-6846
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MS. GLORIA  BANKS 
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    Credential           |    
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    Telephone            |    251-979-6846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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