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General NPI Number Information
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NPI Number | 1255776639
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Entity Type | Organization
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Legal Business Name | D. W. MCMILLAN MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 04/30/2013
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 1301 BELLEVILLE AVE
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City | BREWTON
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State | AL
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Zip | 36426-1306
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Country | US
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Telephone | 251-867-8061
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Fax | 251-809-8459
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Provider Business Mailing Address
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Address Line | 1301 BELLEVILLE AVE
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City | BREWTON
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State | AL
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Zip | 36426-1306
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Country | US
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Telephone | 251-867-8061
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Fax | 251-809-8459
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. STACY HINES
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Credential |
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Telephone | 251-867-8061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 1-032891
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License Number State | AL
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