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General NPI Number Information
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NPI Number | 1144034430
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Entity Type | Organization
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Legal Business Name | CAREMED CLINIC - ALABAMA LLC
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 2870 MONTGOMERY HWY
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City | DOTHAN
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State | AL
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Zip | 36303-2606
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Country | US
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Telephone | 334-500-5500
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Fax | 334-500-5550
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Provider Business Mailing Address
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Address Line | 2870 MONTGOMERY HWY
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City | DOTHAN
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State | AL
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Zip | 36303-2606
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Country | US
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Telephone | 334-500-5500
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Fax | 334-500-5550
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Authorized Official
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Title or Position | OWNER
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Name | MURALI MADDIPATI
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Credential | MD
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Telephone | 850-526-3314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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