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General NPI Number Information
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NPI Number | 1083375414
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Entity Type | Organization
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Legal Business Name | PRIMARY CARE SELECT LLC
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 100 PERRY HILL RD
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City | MONTGOMERY
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State | AL
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Zip | 36109-3630
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Country | US
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Telephone | 334-273-9002
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Fax |
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Provider Business Mailing Address
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Address Line | 100 PERRY HILL RD
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City | MONTGOMERY
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State | AL
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Zip | 36109-3630
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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 | PRESIDENT/CEO
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Name | CHRISTOPHER SCHMIDT
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Credential |
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Telephone | 334-546-5980
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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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