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General NPI Number Information
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NPI Number | 1598286809
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Entity Type | Organization
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Legal Business Name | ESCAMBIA COUNTY HEALTH DEPT (BREWTON) STD
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Dates
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Enumeration Date | 06/28/2017
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 1115 AZALEA PL
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City | BREWTON
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State | AL
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Zip | 36426-1318
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Country | US
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Telephone | 251-867-5765
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Fax | 251-867-5179
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Provider Business Mailing Address
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Address Line | 201 MONROE STREET SUITE 1600 RSA TOWER - CENTRALIZED BILLING UNIT
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City | MONTGOMERY
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State | AL
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Zip | 36104-3721
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Country | US
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Telephone | 334-206-7065
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Fax | 334-206-3998
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Authorized Official
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Title or Position | CBU DIRECTOR
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Name | MS. ARNITA SHEPHERD
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Credential | MSW
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Telephone | 334-206-7065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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