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General NPI Number Information
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NPI Number | 1154983443
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Entity Type | Organization
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Legal Business Name | AIDS ALABAMA INC
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Dates
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Enumeration Date | 07/08/2019
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Last Update Date | 12/02/2022
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Provider Practice Location Address
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Address Line | 3522 7TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35222-3211
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Country | US
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Telephone | 205-324-9822
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Fax | 205-324-9881
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Provider Business Mailing Address
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Address Line | 3521 7TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35222-3210
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Country | US
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Telephone | 205-324-9822
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Fax | 205-324-9881
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | MICHELLE HAWTHORNE
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Credential | MS
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Telephone | 205-310-8051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry 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 | 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 #3
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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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