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General NPI Number Information
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NPI Number | 1053545087
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Entity Type | Organization
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Legal Business Name | CONTINETAL HOLDINGS
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Dates
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Enumeration Date | 05/05/2009
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Last Update Date | 05/05/2009
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Provider Practice Location Address
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Address Line | 2921 MARTI LN STE 7
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City | MONTGOMERY
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State | AL
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Zip | 36116-3120
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Country | US
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Telephone | 334-517-1141
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Fax | 334-517-1161
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Provider Business Mailing Address
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Address Line | 2921 MARTI LN STE 7
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City | MONTGOMERY
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State | AL
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Zip | 36116-3120
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DARREL PACE
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Credential |
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Telephone | 404-787-5300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2275
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License Number State | AL
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