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General NPI Number Information
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NPI Number | 1811139009
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Entity Type | Organization
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Legal Business Name | NEW BEACON HEALTHCARE GROUP, LLC
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Dates
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Enumeration Date | 04/02/2009
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Last Update Date | 04/02/2009
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Provider Practice Location Address
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Address Line | 540 CLAY ST
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City | MONTGOMERY
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State | AL
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Zip | 36104-3367
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Country | US
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Telephone | 334-834-9800
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Fax | 334-834-9808
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Provider Business Mailing Address
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Address Line | 2151 HIGHLAND AVE S SUITE 350
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City | BIRMINGHAM
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State | AL
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Zip | 35205-4079
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Country | US
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Telephone | 205-939-8711
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Fax | 205-939-8778
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Authorized Official
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Title or Position | CCO
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Name | CATHLEEN C. ARMATO
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Credential | RN, CHPN, CHC
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Telephone | 706-897-2351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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