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General NPI Number Information
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NPI Number | 1184213126
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Entity Type | Organization
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Legal Business Name | BHIC
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Dates
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Enumeration Date | 01/14/2021
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Last Update Date | 01/14/2021
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Provider Practice Location Address
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Address Line | 1 INDEPENDENCE PLZ STE 600
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City | HOMEWOOD
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State | AL
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Zip | 35209-2659
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Country | US
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Telephone | 833-637-7924
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Fax | 334-625-7602
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Provider Business Mailing Address
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Address Line | PO BOX 14022
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City | HUNTSVILLE
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State | AL
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Zip | 35815-0022
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Country | US
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Telephone | 256-384-8264
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Fax | 256-427-4150
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Authorized Official
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Title or Position | PSYCHIATRIST/OWNER
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Name | SHANKAR B YALAMANCHILI
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Credential | M.D.
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Telephone | 334-239-2622
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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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