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General NPI Number Information
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NPI Number | 1659387082
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Entity Type | Organization
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Legal Business Name | CLANTON HOSPITAL LLC
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 1010 LAY DAM RD
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City | CLANTON
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State | AL
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Zip | 35045-2306
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Country | US
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Telephone | 205-755-2500
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Fax | 205-280-3569
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Provider Business Mailing Address
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Address Line | PO BOX 2220
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City | CLANTON
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State | AL
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Zip | 35046-2220
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Country | US
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Telephone | 205-755-2500
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Fax | 205-280-3569
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. ROB FOLLOWELL
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Credential |
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Telephone | 205-755-2500
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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 | 11777
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License Number State | AL
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