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General NPI Number Information
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NPI Number | 1508793951
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Entity Type | Organization
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Legal Business Name | BULLOCK COUNTY HEALTH CARE AUTHORITY
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Dates
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Enumeration Date | 05/07/2026
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 308 PRAIRIE ST N
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City | UNION SPRINGS
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State | AL
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Zip | 36089-1417
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Country | US
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Telephone | 334-738-1499
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Fax |
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Provider Business Mailing Address
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Address Line | 308 PRAIRIE ST N
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City | UNION SPRINGS
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State | AL
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Zip | 36089-1417
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. SAMUEL PRICE
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Credential |
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Telephone | 334-528-1310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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