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General NPI Number Information
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NPI Number | 1043756513
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Entity Type | Organization
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Legal Business Name | BESSEMER FAMILY FOOT CLINIC LLC
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Dates
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Enumeration Date | 01/09/2017
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Last Update Date | 01/09/2017
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Provider Practice Location Address
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Address Line | 1721 4TH AVE N
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City | BESSEMER
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State | AL
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Zip | 35020-4838
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Country | US
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Telephone | 205-424-2540
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Fax |
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Provider Business Mailing Address
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Address Line | 1721 4TH AVE N
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City | BESSEMER
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State | AL
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Zip | 35020-4838
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Country | US
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Telephone | 205-424-2540
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Fax |
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. CYNTHIA HOBDY
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Credential | D.P.M.
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Telephone | 205-424-2540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 00174
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License Number State | AL
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