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General NPI Number Information
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NPI Number | 1932940038
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Entity Type | Organization
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Legal Business Name | JOE T BROWN MEMORIAL HOSPICE HOUSE
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 2500 ROSEBUSH RD
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City | DOTHAN
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State | AL
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Zip | 36303-5507
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Country | US
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Telephone | 334-718-8459
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 ROSEBUSH RD
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City | DOTHAN
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State | AL
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Zip | 36303-5507
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Country | US
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Telephone | 334-718-8459
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MELISSA C MYLES
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Credential |
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Telephone | 334-718-8459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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