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NPI 1205943529

NPI 1205943529 : FAMILY MEDICAL SERVICES INC : BESSEMER, AL

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General NPI Number Information
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    NPI Number           |    1205943529
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    Entity Type          |    Organization 
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    Legal Business Name  |    FAMILY MEDICAL SERVICES INC 
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Dates
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    Enumeration Date     |    08/23/2006
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    Last Update Date     |    04/30/2025
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Provider Practice Location Address
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    Address Line         |    1817 13TH AVE N 
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    City                 |    BESSEMER
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    State                |    AL
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    Zip                  |    35020-3246
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    Country              |    US
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    Telephone            |    205-424-3194
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    Fax                  |    205-424-3180
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Provider Business Mailing Address
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    Address Line         |    1817 13TH AVE N 
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    City                 |    BESSEMER
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    State                |    AL
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    Zip                  |    35020-3246
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    Country              |    US
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    Telephone            |    205-424-3194
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    Fax                  |    205-424-3180
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Authorized Official
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    Title or Position    |    VP CLINICAL COORDINATOR
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    Name                 |    DR. ANTHONY J BOLUS 
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    Credential           |    PHARMD
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    Telephone            |    205-424-3194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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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        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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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        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    103867
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    License Number State |    AL
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Taxonomy #4
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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 |    
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