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General NPI Number Information
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NPI Number | 1215958103
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Entity Type | Organization
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Legal Business Name | AFTER HOURS CLINIC INC
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1800 BIRMINGHAM AVENUE
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City | JASPER
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State | AL
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Zip | 35501
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Country | US
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Telephone | 205-384-4585
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Fax | 205-384-4428
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Provider Business Mailing Address
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Address Line | PO BOX 1287
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City | JASPER
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State | AL
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Zip | 35502-1287
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Country | US
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Telephone | 205-384-4585
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Fax | 205-384-4428
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DORIS J WALLACE
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Credential |
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Telephone | 205-384-4585
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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 |
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License Number State |
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