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General NPI Number Information
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NPI Number | 1316223027
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Entity Type | Organization
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Legal Business Name | WASHINGTON COUNTY HEALTHCARE AUTHORITY, INC
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Dates
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Enumeration Date | 10/26/2011
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 73 LONG STREET
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City | MILLRY
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State | AL
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Zip | 36558
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Country | US
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Telephone | 251-846-3233
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Fax | 251-846-3224
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Provider Business Mailing Address
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Address Line | PO BOX 1299
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City | CHATOM
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State | AL
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Zip | 36518-1299
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Country | US
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Telephone | 251-847-2223
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Fax | 251-847-3808
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | LESLEY JEAN DUNN
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Credential |
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Telephone | 251-847-2223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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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 | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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