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General NPI Number Information
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NPI Number | 1437135209
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Entity Type | Organization
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Legal Business Name | ANNISTON FAMILY PRACTICE P.C.
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 400 E 8TH ST
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City | ANNISTON
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State | AL
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Zip | 36207-5754
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Country | US
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Telephone | 256-237-8527
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Fax | 256-237-0208
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Provider Business Mailing Address
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Address Line | 400 E 8TH ST
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City | ANNISTON
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State | AL
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Zip | 36207-5754
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Country | US
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Telephone | 256-237-8527
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Fax | 256-237-0208
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. NELSON W COOK
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Credential | M.D.
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Telephone | 256-237-8527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State | AL
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