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General NPI Number Information
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NPI Number | 1326399338
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Entity Type | Organization
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Legal Business Name | BAY AREA INPATIENT PHYSICIANS LLC
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Dates
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Enumeration Date | 10/01/2012
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Last Update Date | 06/03/2016
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Provider Practice Location Address
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Address Line | 750 MORPHY AVE
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City | FAIRHOPE
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State | AL
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Zip | 36532-1812
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Country | US
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Telephone | 251-990-1922
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1276
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City | FAIRHOPE
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State | AL
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Zip | 36533-1276
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Country | US
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Telephone | 251-990-1922
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | FULTON G DEFOUR
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Credential | MD
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Telephone | 251-990-1922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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