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General NPI Number Information
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NPI Number | 1043596117
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Entity Type | Organization
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Legal Business Name | TIMOTHY H REAL MD LLC
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Dates
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Enumeration Date | 11/02/2011
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 4704 CAHABA RIVER RD SUITE 1A
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City | BIRMINGHAM
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State | AL
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Zip | 35243-2344
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Country | US
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Telephone | 205-313-6894
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Fax | 205-313-6897
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Provider Business Mailing Address
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Address Line | 4704 CAHABA RIVER RD SUITE 1A
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City | BIRMINGHAM
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State | AL
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Zip | 35243-2344
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Country | US
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Telephone | 205-313-6894
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Fax | 205-313-6897
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Authorized Official
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Title or Position | PRESIDENT
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Name | TIMOTHY H REAL
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Credential | M.D.
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Telephone | 205-313-6894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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