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General NPI Number Information
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NPI Number | 1578984795
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Entity Type | Organization
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Legal Business Name | THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE
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Dates
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Enumeration Date | 12/16/2013
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 1963 MEMORIAL PKWY SW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5036
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Country | US
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Telephone | 256-265-3800
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Fax | 256-265-3801
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Provider Business Mailing Address
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Address Line | 1963 MEMORIAL PKWY SW STE 14
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5035
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Country | US
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Telephone | 256-265-3800
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Fax | 256-265-3801
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Authorized Official
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Title or Position | CFO
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Name | CLINTON CARTER
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Credential |
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Telephone | 256-265-8123
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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 | 114254
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License Number State | AL
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