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General NPI Number Information
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NPI Number | 1114468824
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Entity Type | Organization
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Legal Business Name | MONTGOMERY BAPTIST ASSOCIATION
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Dates
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Enumeration Date | 03/14/2017
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Last Update Date | 04/11/2017
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Provider Practice Location Address
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Address Line | 20 INTERSTATE PARK DR
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City | MONTGOMERY
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State | AL
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Zip | 36109-5417
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Country | US
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Telephone | 334-271-6241
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Fax | 334-271-4180
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Provider Business Mailing Address
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Address Line | 20 INTERSTATE PARK DR
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City | MONTGOMERY
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State | AL
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Zip | 36109-5417
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Country | US
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Telephone | 334-271-6241
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Fax | 334-271-4180
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Authorized Official
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Title or Position | DIRECTOR OF MISSIONS/TREASURER
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Name | MR. DONALD NEAL HUGHES
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Credential | REV.
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Telephone | 334-271-6227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 218
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License Number State | AL
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