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General NPI Number Information
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NPI Number | 1215057492
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Entity Type | Organization
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Legal Business Name | NORTH ALABAMA ENT ASSOCIATES, P.C.
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 12/06/2013
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Provider Practice Location Address
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Address Line | 8337 HIGHWAY 72 W SUITE 301
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City | MADISON
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State | AL
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Zip | 35758-9547
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Country | US
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Telephone | 256-772-1884
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Fax | 256-772-1886
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Provider Business Mailing Address
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Address Line | PO BOX 18066
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City | HUNTSVILLE
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State | AL
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Zip | 35804-8066
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Country | US
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Telephone | 256-536-9300
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Fax | 256-535-9032
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Authorized Official
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Title or Position | PRESIDENT
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Name | HERMAN MCKINLEY TEACHEY
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Credential | M.D.
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Telephone | 256-536-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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