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General NPI Number Information
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NPI Number | 1194183749
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Entity Type | Organization
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Legal Business Name | NAAMAN CLINIC, LLC
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Dates
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Enumeration Date | 02/10/2016
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 6234 TATTERSALL BLVD
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City | BIRMINGHAM
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State | AL
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Zip | 35242-4279
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Country | US
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Telephone | 205-453-4196
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Fax | 205-533-7385
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Provider Business Mailing Address
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Address Line | 6234 TATTERSALL BLVD
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City | BIRMINGHAM
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State | AL
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Zip | 35242-4279
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Country | US
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Telephone | 205-453-4196
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Fax | 205-533-7385
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | EVANS C BAILEY
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Credential |
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Telephone | 205-453-4195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 26882
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License Number State | AL
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