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General NPI Number Information
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NPI Number | 1619010923
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Entity Type | Organization
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Legal Business Name | GADSDEN COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 23186 BLUE STAR HIGHWAY
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City | QUINCY
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State | FL
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Zip | 32351
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Country | US
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Telephone | 850-926-4160
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Fax | 850-926-0254
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Provider Business Mailing Address
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Address Line | 11 SAND PINE TRL
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City | CRAWFORDVILLE
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State | FL
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Zip | 32327-1247
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Country | US
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Telephone | 850-926-4160
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Fax | 850-926-0254
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Authorized Official
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Title or Position | CONSULTANT
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Name | MR. JOE SHARP
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Credential |
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Telephone | 850-926-4160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 4369
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License Number State | FL
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