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General NPI Number Information
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NPI Number | 1992793046
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Entity Type | Organization
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Legal Business Name | PICKENS COUNTY MEDICAL CENTER, INC
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 241 ROBERT K WILSON DR
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City | CARROLLTON
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State | AL
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Zip | 35447-8010
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Country | US
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Telephone | 205-367-2100
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Fax | 205-367-9123
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Provider Business Mailing Address
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Address Line | 241 ROBERT K WILSON DR P O BOX 478
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City | CARROLLTON
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State | AL
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Zip | 35447-8010
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Country | US
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Telephone | 205-367-2100
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Fax | 205-367-9123
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. H WAYNE MCELROY
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Credential |
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Telephone | 205-367-2100
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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 | 10402
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License Number State | AL
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