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General NPI Number Information
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NPI Number | 1326452723
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Entity Type | Organization
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Legal Business Name | EAST ALABAMA PHYSICIANS, LLC
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Dates
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Enumeration Date | 06/13/2014
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Last Update Date | 08/18/2016
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Provider Practice Location Address
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Address Line | 2000 PEPPERELL PKWY
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City | OPELIKA
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State | AL
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Zip | 36801-5452
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Country | US
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Telephone | 334-528-6610
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Fax | 334-528-6628
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Provider Business Mailing Address
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Address Line | 2000 PEPPERELL PKWY
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City | OPELIKA
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State | AL
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Zip | 36801-5452
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Country | US
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Telephone | 334-528-6610
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Fax | 334-528-6628
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Authorized Official
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Title or Position | CFO
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Name | SAMUEL A PRICE JR.
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Credential |
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Telephone | 334-528-1310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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