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General NPI Number Information
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NPI Number | 1669868923
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Entity Type | Organization
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Legal Business Name | PRIME HEALTHCARE SERVICES - GADSDEN LLC
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Dates
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Enumeration Date | 04/13/2015
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Last Update Date | 04/13/2015
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Provider Practice Location Address
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Address Line | 600 S 3RD ST
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City | GADSDEN
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State | AL
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Zip | 35901-5304
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Country | US
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Telephone | 256-543-5200
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Fax | 256-543-5888
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Provider Business Mailing Address
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Address Line | 600 S 3RD ST
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City | GADSDEN
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State | AL
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Zip | 35901-5304
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Country | US
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Telephone | 256-543-5200
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Fax | 256-543-5888
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MICHAEL HEATHER
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Credential |
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Telephone | 909-235-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | H2803
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License Number State | AL
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