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General NPI Number Information
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NPI Number | 1275390361
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Entity Type | Organization
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Legal Business Name | ALABAMA DOC AT HOME PC
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Dates
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Enumeration Date | 03/05/2024
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 341 GAMMA ST S # 50
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City | BIRMINGHAM
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State | AL
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Zip | 35205-4315
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Country | US
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Telephone | 205-704-3333
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Fax | 866-223-7072
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Provider Business Mailing Address
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Address Line | 341 GAMMA ST S # 50
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City | BIRMINGHAM
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State | AL
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Zip | 35205-4315
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Country | US
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Telephone | 205-704-3333
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Fax | 866-223-7072
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. REGINALD DOUGLAS HUGHES
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Credential | MD
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Telephone | 917-862-2864
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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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