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NPI 1275840779

NPI 1275840779 : TROY HOSPITAL HEALTH CARE AUTHORITY : TROY, AL

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General NPI Number Information
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    NPI Number           |    1275840779
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    Entity Type          |    Organization 
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    Legal Business Name  |    TROY HOSPITAL HEALTH CARE AUTHORITY 
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Dates
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    Enumeration Date     |    09/03/2010
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    Last Update Date     |    12/03/2024
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Provider Practice Location Address
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    Address Line         |    1330 HIGHWAY 231 S 
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    City                 |    TROY
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    State                |    AL
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    Zip                  |    36081-3058
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    Country              |    US
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    Telephone            |    334-670-5427
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1330 HIGHWAY 231 S ATTN: ADMINISTRATION
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    City                 |    TROY
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    State                |    AL
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    Zip                  |    36081-3058
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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                 |     HENRY MIKE MYERS 
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    Credential           |    
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    Telephone            |    334-670-5427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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