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General NPI Number Information
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NPI Number | 1992973499
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Entity Type | Organization
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Legal Business Name | CALHOUN-LIBERTY HOSPITAL ASSOCIATION INC
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Dates
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Enumeration Date | 02/19/2008
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 16257 STATE ROAD 71 S
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City | BLOUNTSTOWN
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State | FL
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Zip | 32424-2808
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Country | US
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Telephone | 850-674-5411
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Fax | 800-287-4394
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Provider Business Mailing Address
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Address Line | 16257 STATE ROAD 71 S
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City | BLOUNTSTOWN
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State | FL
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Zip | 32424-2808
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Country | US
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Telephone | 850-674-5411
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Fax | 800-287-4394
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Authorized Official
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Title or Position | CEO
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Name | EMILY MARLO BROWN
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Credential |
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Telephone | 508-674-5411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 2981
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License Number State | FL
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