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General NPI Number Information
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NPI Number | 1225308893
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Entity Type | Organization
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Legal Business Name | TBF&C INC
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Dates
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Enumeration Date | 01/12/2012
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Last Update Date | 01/17/2014
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Provider Practice Location Address
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Address Line | 803 N WILSON ST POB 358
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City | GENEVA
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State | AL
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Zip | 36340-1611
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Country | US
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Telephone | 334-684-3218
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Fax |
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Provider Business Mailing Address
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Address Line | 803 N WILSON ST POB 358
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City | GENEVA
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State | AL
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Zip | 36340-1611
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Country | US
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Telephone | 334-684-3218
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DWIGHT LAMAR CREWS II
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Credential | D.C.
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Telephone | 334-684-3218
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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 | 1108
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License Number State | AL
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