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General NPI Number Information
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NPI Number | 1497041834
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Entity Type | Organization
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Legal Business Name | REGIONAL HEALTH MANAGEMENT CORPORATION
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Dates
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Enumeration Date | 06/23/2011
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Last Update Date | 09/21/2011
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Provider Practice Location Address
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Address Line | 469 PRICE ST
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City | ROANOKE
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State | AL
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Zip | 36274-2104
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Country | US
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Telephone | 334-863-2311
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Fax | 334-863-5596
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Provider Business Mailing Address
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Address Line | PO BOX 2345
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City | ANNISTON
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State | AL
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Zip | 36202-2345
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Country | US
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Telephone | 256-741-1198
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Fax | 256-235-5608
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Authorized Official
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Title or Position | VP
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Name | MR. JAMES LIPSCOMB
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Credential |
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Telephone | 256-741-1198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1089488
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License Number State | AL
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Taxonomy #2
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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 | AL
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