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General NPI Number Information
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NPI Number | 1215086020
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Entity Type | Organization
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Legal Business Name | HELENA FAMILY MEDICINE, LLC
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 270 VILLAGE PKWY
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City | HELENA
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State | AL
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Zip | 35080-4040
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Country | US
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Telephone | 205-664-9430
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Fax | 205-664-1846
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Provider Business Mailing Address
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Address Line | 660 HAVENWOOD TRL
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City | MONTEVALLO
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State | AL
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Zip | 35115-7846
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Country | US
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Telephone | 205-665-9192
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MICHAEL A. REMILLARD
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Credential | M.D.
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Telephone | 205-664-9430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 21972
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License Number State | AL
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