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General NPI Number Information
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NPI Number | 1730704024
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Entity Type | Organization
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Legal Business Name | ST. VINCENT'S BLOUNT
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Dates
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Enumeration Date | 06/11/2020
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 150 GILBREATH DR STE 104
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City | ONEONTA
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State | AL
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Zip | 35121-2827
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Country | US
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Telephone | 205-274-3310
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Fax | 205-274-3311
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Provider Business Mailing Address
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Address Line | 150 GILBREATH DR STE 205
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City | ONEONTA
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State | AL
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Zip | 35121-2827
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Country | US
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Telephone | 205-274-3310
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Fax | 205-274-3311
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Authorized Official
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Title or Position | DIRECTOR
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Name | VIKAS VOHRA
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Credential |
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Telephone | 630-624-7744
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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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