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NPI 1679806798

NPI 1679806798 : CHRIST HEALTH CENTER INC : BIRMINGHAM, AL

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General NPI Number Information
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    NPI Number           |    1679806798
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHRIST HEALTH CENTER INC 
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Dates
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    Enumeration Date     |    09/08/2009
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    Last Update Date     |    08/08/2023
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Provider Practice Location Address
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    Address Line         |    5804 1ST AVE S 
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    City                 |    BIRMINGHAM
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    State                |    AL
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    Zip                  |    35212-2524
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    Country              |    US
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    Telephone            |    205-380-9435
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    Fax                  |    205-595-8685
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Provider Business Mailing Address
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    Address Line         |    5720 1ST AVE S 
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    City                 |    BIRMINGHAM
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    State                |    AL
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    Zip                  |    35212-2522
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    Country              |    US
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    Telephone            |    205-380-9435
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    Fax                  |    205-595-8685
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     ROBERT REX RECORD 
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    Credential           |    MD
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    Telephone            |    205-380-9455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    113315
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    License Number State |    AL
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