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General NPI Number Information
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NPI Number | 1710033790
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Entity Type | Organization
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Legal Business Name | GULF HEALTH HOSPITALS
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 07/26/2007
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Provider Practice Location Address
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Address Line | 27961 US HIGHWAY 98 SUITE 16
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City | DAPHNE
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State | AL
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Zip | 36526-4702
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Country | US
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Telephone | 251-625-1520
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Fax | 251-625-1521
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Provider Business Mailing Address
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Address Line | 27961 US HIGHWAY 98 SUITE 16
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City | DAPHNE
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State | AL
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Zip | 36526-4702
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Country | US
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Telephone | 251-625-1520
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Fax | 251-625-1521
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PHILLIP L CUSA
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Credential |
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Telephone | 251-990-1510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | AL
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