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General NPI Number Information
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NPI Number | 1891060828
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Entity Type | Organization
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Legal Business Name | GULF HEALTH HOSPITALS, INC
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Dates
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Enumeration Date | 03/08/2012
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Last Update Date | 03/09/2012
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Provider Practice Location Address
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Address Line | 1815 HAND AVE
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City | BAY MINETTE
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State | AL
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Zip | 36507-4110
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Country | US
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Telephone | 251-435-2290
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Fax |
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Provider Business Mailing Address
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Address Line | 1815 HAND AVE
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City | BAY MINETTE
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State | AL
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Zip | 36507-4110
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Country | US
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Telephone | 251-435-2290
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. RANDY W. REDFOOT
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Credential |
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Telephone | 251-435-2290
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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 | H0201
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License Number State | AL
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