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General NPI Number Information
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NPI Number | 1295040376
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Entity Type | Organization
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Legal Business Name | COMMUNITY HOSPITAL INC
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Dates
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Enumeration Date | 08/12/2010
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 80 HERREN HILL RD STE A
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City | TALLASSEE
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State | AL
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Zip | 36078-1264
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Country | US
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Telephone | 334-283-3844
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Fax | 334-283-3735
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Provider Business Mailing Address
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Address Line | 805 FRIENDSHIP RD
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City | TALLASSEE
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State | AL
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Zip | 36078-1234
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Country | US
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Telephone | 334-283-3844
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Fax | 334-283-3735
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Authorized Official
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Title or Position | CFO
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Name | MR. LEE S GREER
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Credential |
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Telephone | 334-283-3754
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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 | AL
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