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General NPI Number Information
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NPI Number | 1285915934
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Entity Type | Organization
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Legal Business Name | REGIONAL HEALTH MANAGEMENT CORPORATION
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Dates
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Enumeration Date | 09/07/2011
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Last Update Date | 09/07/2011
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Provider Practice Location Address
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Address Line | 1654 PELHAM RD S
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City | JACKSONVILLE
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State | AL
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Zip | 36265-3312
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Country | US
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Telephone | 256-741-1198
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Fax | 256-235-5608
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Provider Business Mailing Address
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Address Line | PO BOX 2345
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City | ANNISTON
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State | AL
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Zip | 36202-2345
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Country | US
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Telephone | 256-741-1198
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Fax | 256-235-5608
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Authorized Official
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Title or Position | VP PRACTICE DEVELOPMENT
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Name | MR. JAMES LIPSCOMB
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Credential |
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Telephone | 256-741-1198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO1091
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License Number State | AL
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