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General NPI Number Information
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NPI Number | 1275926719
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Entity Type | Organization
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Legal Business Name | CAPSTONE HEALTH SERVICES FOUNDATION PC
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Dates
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Enumeration Date | 03/09/2015
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 6205 JEMISON LN
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City | NORTHPORT
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State | AL
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Zip | 35476-3545
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Country | US
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Telephone | 205-348-6122
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Fax | 205-348-6112
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Provider Business Mailing Address
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Address Line | 1325 MCFARLAND BLVD SUITE 102
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City | NORTHPORT
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State | AL
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Zip | 35476-3270
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Country | US
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Telephone | 205-348-6122
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Fax | 205-348-6112
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Authorized Official
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Title or Position | DIRECTOR OF FINANCIAL AFFIARS
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Name | ALLISON H ARENDALE
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Credential | CFO
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Telephone | 205-348-1770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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