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General NPI Number Information
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NPI Number | 1225682537
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Entity Type | Organization
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Legal Business Name | TOMBIGBEE HEALTHCARE AUTHORITY
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Dates
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Enumeration Date | 07/25/2019
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 1007 S MAIN ST
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City | LINDEN
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State | AL
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Zip | 36748-3149
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Country | US
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Telephone | 334-289-4000
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Fax | 334-287-2594
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Provider Business Mailing Address
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Address Line | 1007 S MAIN ST
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City | LINDEN
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State | AL
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Zip | 36748-3149
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Country | US
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Telephone | 334-287-2910
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Fax | 334-287-2594
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Authorized Official
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Title or Position | EXEC DIR ADMINISTRATION
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Name | DONNA SUE GANDY
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Credential |
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Telephone | 334-287-2423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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