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General NPI Number Information
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NPI Number | 1285655936
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Entity Type | Organization
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Legal Business Name | WHATLEY HEALTH SERVICES INC
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 05/17/2022
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Provider Practice Location Address
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Address Line | 800 HALL ST
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City | GREENSBORO
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State | AL
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Zip | 36744
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Country | US
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Telephone | 334-624-7270
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Fax | 334-624-0872
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Provider Business Mailing Address
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Address Line | 2731 MLK JR BLVD
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City | TUSCALOOSA
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State | AL
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Zip | 35401-5235
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Country | US
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Telephone | 205-349-3250
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Fax | 205-345-3993
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Authorized Official
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Title or Position | CEO
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Name | DAVID GAY JR.
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Credential |
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Telephone | 205-758-6647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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