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General NPI Number Information
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NPI Number | 1073032488
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Entity Type | Organization
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Legal Business Name | MOBILE COUNTY BOARD OF HEALTH
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Dates
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Enumeration Date | 09/18/2017
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Last Update Date | 09/18/2017
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Provider Practice Location Address
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Address Line | 251 N BAYOU ST
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City | MOBILE
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State | AL
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Zip | 36603-5827
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Country | US
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Telephone | 251-690-8151
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Fax | 251-544-2188
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Provider Business Mailing Address
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Address Line | PO BOX 2867
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City | MOBILE
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State | AL
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Zip | 36652-2867
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Country | US
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Telephone | 251-690-8158
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Fax |
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Authorized Official
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Title or Position | DIRECTOR MCHD/FHCS
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Name | MRS. ANGELIA D. LEWIS
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Credential | D.N.P., C.E.O
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Telephone | 251-690-8832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | AL
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