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General NPI Number Information
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NPI Number | 1396764080
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Entity Type | Organization
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Legal Business Name | DECATUR GENERAL HOSPITAL
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 04/29/2013
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Provider Practice Location Address
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Address Line | 1201 7TH ST SE
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City | DECATUR
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State | AL
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Zip | 35601-3337
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Country | US
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Telephone | 256-341-2000
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Fax | 256-306-1691
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Provider Business Mailing Address
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Address Line | PO BOX 2239 1201 7TH ST SE
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City | DECATUR
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State | AL
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Zip | 35609-2239
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Country | US
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Telephone | 256-341-2000
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Fax | 256-306-1691
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Authorized Official
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Title or Position | EXE DIR, REVENUE CYC
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Name | MR. VINCENT BONETTI
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Credential |
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Telephone | 256-265-9641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 11859
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License Number State | AL
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