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General NPI Number Information
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NPI Number | 1376694984
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Entity Type | Organization
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Legal Business Name | NORTH ALABAMA FAMILY MEDICINE & PSYCHOLOGICAL SERVICES, PC
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 537 GANDY ST NE
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City | RUSSELLVILLE
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State | AL
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Zip | 35653-1965
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Country | US
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Telephone | 256-332-9990
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Fax | 256-332-9997
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Provider Business Mailing Address
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Address Line | PO BOX 130 537 GANDY STREET
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City | RUSSELLVILLE
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State | AL
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Zip | 35653-0130
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Country | US
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Telephone | 256-332-9990
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Fax | 256-332-9997
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAURA M LINDSEY
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Credential | MD
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Telephone | 256-332-9990
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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 | 25605
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License Number State | AL
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