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General NPI Number Information
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NPI Number | 1104033208
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Entity Type | Organization
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Legal Business Name | AFTER HOURS FAMILY MEDICINE HOOVER
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 12/03/2008
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Provider Practice Location Address
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Address Line | 3216 CAHABA HEIGHTS RD
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City | BIRMINGHAM
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State | AL
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Zip | 35243-1614
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Country | US
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Telephone | 205-824-2085
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Fax | 205-824-2086
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Provider Business Mailing Address
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Address Line | 618 LORNA SQUARE
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City | BIRMINGHAM
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State | AL
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Zip | 35216
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Country | US
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Telephone | 205-824-2085
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Fax | 205-824-2086
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Authorized Official
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Title or Position | OWNER
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Name | MR. MICHAEL P ELCOTT
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Credential |
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Telephone | 205-824-2085
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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