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General NPI Number Information
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NPI Number | 1962360313
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Entity Type | Organization
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Legal Business Name | PEARLY GATES
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 1108 MISSISSIPPI ST
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City | TARRANT
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State | AL
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Zip | 35217-2917
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Country | US
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Telephone | 205-243-9457
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 610215
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City | BIRMINGHAM
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State | AL
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Zip | 35261-0215
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Country | US
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Telephone | 205-205-2439
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHERRY HOLDEN HUGHES
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Credential |
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Telephone | 205-837-3364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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