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General NPI Number Information
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NPI Number | 1285808584
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Entity Type | Organization
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Legal Business Name | BAPTIST HEALTH CENTERS, LLC
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 01/08/2018
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Provider Practice Location Address
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Address Line | 724 STONE AVE
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City | TALLADEGA
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State | AL
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Zip | 35160-2219
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Country | US
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Telephone | 256-362-1410
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Fax | 256-362-0186
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Provider Business Mailing Address
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Address Line | 1130 22ND ST S SUITE 1000
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City | BIRMINGHAM
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State | AL
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Zip | 35205-2870
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Country | US
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Telephone | 205-715-5943
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Fax | 205-715-5932
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | ROBIN JACKSON
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Credential |
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Telephone | 205-715-5943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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