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General NPI Number Information
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NPI Number | 1497989370
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Entity Type | Organization
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Legal Business Name | GOVE HILL MEMORIAL HOSPITAL, INC
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Dates
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Enumeration Date | 05/07/2009
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 295 SOUTH JACKSON STREET
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City | GROVE HILL
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State | AL
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Zip | 36451-0935
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Country | US
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Telephone | 251-275-3191
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Fax | 251-275-4281
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Provider Business Mailing Address
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Address Line | P O BOX 935
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City | GROVE HILL
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State | AL
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Zip | 36451-0935
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Country | US
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Telephone | 251-275-3191
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Fax | 251-275-4281
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Authorized Official
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Title or Position | INSURANCE MANAGER
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Name | CORNELIA P OVERSTREET
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Credential |
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Telephone | 251-275-4043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State | AL
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