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General NPI Number Information
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NPI Number | 1063424059
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Entity Type | Organization
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Legal Business Name | HIGHTOWER FAMILY MEDICINE, PC
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 11/24/2009
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Provider Practice Location Address
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Address Line | 840 MONTCLAIR RD SUITE 707
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City | BIRMINGHAM
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State | AL
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Zip | 35213-1920
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Country | US
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Telephone | 205-599-2345
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Fax | 205-599-2348
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Provider Business Mailing Address
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Address Line | 840 MONTCLAIR RD SUITE 707
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City | BIRMINGHAM
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State | AL
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Zip | 35213-1920
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Country | US
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Telephone | 205-599-2345
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Fax | 205-599-2348
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHANIE M HIGHTOWER
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Credential | MD
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Telephone | 205-599-2345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 24370
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License Number State | AL
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