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General NPI Number Information
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NPI Number | 1205264686
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Entity Type | Organization
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Legal Business Name | HORMONE HEALTH AND WEIGHT LOSS
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Dates
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Enumeration Date | 10/23/2013
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Last Update Date | 10/23/2013
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Provider Practice Location Address
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Address Line | 700 CENTURY PARK S SUITE 112
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City | BIRMINGHAM
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State | AL
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Zip | 35226-3943
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Country | US
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Telephone | 205-822-3211
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Fax | 205-822-3321
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Provider Business Mailing Address
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Address Line | 700 CENTURY PARK S SUITE 112
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City | BIRMINGHAM
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State | AL
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Zip | 35226-3943
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Country | US
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Telephone | 205-822-3211
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Fax | 205-822-3321
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Authorized Official
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Title or Position | OFFICE COORDINATOR
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Name | AMANDA BLACKALL
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Credential |
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Telephone | 205-822-3211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | AL
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