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General NPI Number Information
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NPI Number | 1427770841
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Entity Type | Organization
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Legal Business Name | FOCUS MD AL 1020 LLC
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 1976 GADSDEN HWY STE 105
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3246
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Country | US
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Telephone | 205-285-3800
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Fax | 205-285-3805
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Provider Business Mailing Address
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Address Line | 1976 GADSDEN HWY STE 105
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3246
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Country | US
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Telephone | 205-285-3800
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Fax | 205-285-3805
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | COURTNEY CRANE
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Credential | MD
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Telephone | 205-285-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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