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General NPI Number Information
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NPI Number | 1255924098
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Entity Type | Organization
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Legal Business Name | HCC OF WINFIELD LLC
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Dates
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Enumeration Date | 02/12/2021
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Last Update Date | 07/21/2021
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Provider Practice Location Address
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Address Line | 1530 US HIGHWAY 43
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City | WINFIELD
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State | AL
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Zip | 35594-5056
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Country | US
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Telephone | 205-487-7000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 222006
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City | DALLAS
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State | TX
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Zip | 75222-2006
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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 | CARRIE O'BRIEN
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Credential |
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Telephone | 972-978-3730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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