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General NPI Number Information
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NPI Number | 1912705112
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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 | 03/04/2025
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Last Update Date | 03/04/2025
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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 | 251-580-1717
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1409
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City | BAY MINETTE
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State | AL
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Zip | 36507-1409
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Country | US
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Telephone | 251-580-1717
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, REIMBURSEMENT
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Name | RANDY W REDFOOT
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Credential |
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Telephone | 251-435-2259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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