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General NPI Number Information
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NPI Number | 1225834732
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Entity Type | Organization
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Legal Business Name | USA HEALTH HCA PROVIDENCE HOSPITAL LLC
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 6801 AIRPORT BLVD
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City | MOBILE
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State | AL
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Zip | 36608-3709
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Country | US
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Telephone | 251-633-1000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 931131
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City | ATLANTA
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State | GA
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Zip | 31193-1131
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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 | CFO
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Name | BENNY JOSEPH STOVER
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Credential |
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Telephone | 251-445-9164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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