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General NPI Number Information
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NPI Number | 1417729534
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Entity Type | Organization
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Legal Business Name | HOSPITAL AUTHORITY OF BEN HILL
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 200 PERRY HOUSE RD
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City | FITZGERALD
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State | GA
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Zip | 31750-8857
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Country | US
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Telephone | 229-424-7112
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Fax | 229-424-7200
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Provider Business Mailing Address
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Address Line | 200 PERRY HOUSE RD
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City | FITZGERALD
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State | GA
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Zip | 31750-8857
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Country | US
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Telephone | 229-424-7112
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Fax | 229-424-7200
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Authorized Official
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Title or Position | CEO
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Name | PAIGE WYNN
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Credential |
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Telephone | 229-424-7258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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