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General NPI Number Information
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NPI Number | 1427503010
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Entity Type | Organization
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Legal Business Name | THE HEALTH CARE AUTHORITY OF THE CITY OF ANNISTON
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Dates
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Enumeration Date | 08/24/2016
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Last Update Date | 12/13/2016
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Provider Practice Location Address
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Address Line | 1701 PELHAM RD S
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City | JACKSONVILLE
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State | AL
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Zip | 36265-3353
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Country | US
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Telephone | 256-435-4970
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Fax |
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Provider Business Mailing Address
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Address Line | 1701 PELHAM RD S
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City | JACKSONVILLE
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State | AL
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Zip | 36265-3353
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Country | US
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Telephone | 256-435-4970
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JOE WEAVER
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Credential |
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Telephone | 256-235-5253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #5
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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 |
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