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General NPI Number Information
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NPI Number | 1649721853
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Entity Type | Organization
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Legal Business Name | GADSDEN REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 10/24/2016
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Last Update Date | 10/24/2016
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Provider Practice Location Address
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Address Line | 1007 GOODYEAR AVE
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City | GADSDEN
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State | AL
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Zip | 35903-1195
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Country | US
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Telephone | 256-494-4052
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Fax |
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Provider Business Mailing Address
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Address Line | 1007 GOODYEAR AVE
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City | GADSDEN
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State | AL
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Zip | 35903-1195
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Country | US
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Telephone | 256-494-4052
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/ASSIST PHCY DIR.
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Name | DR. DAVID JOHN MARTIN
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Credential | PHARM.D.
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Telephone | 256-494-4052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 14309
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License Number State | AL
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