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General NPI Number Information
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NPI Number | 1437710183
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Entity Type | Organization
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Legal Business Name | CAHABA MEDICAL CARE FOUNDATION
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Dates
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Enumeration Date | 06/24/2019
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Last Update Date | 06/24/2019
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Provider Practice Location Address
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Address Line | 1305 PRINCETON AVE SW
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City | BIRMINGHAM
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State | AL
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Zip | 35211-1544
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Country | US
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Telephone | 205-340-8108
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Fax | 205-783-8600
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Provider Business Mailing Address
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Address Line | 405 BELCHER ST
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City | CENTREVILLE
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State | AL
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Zip | 35042-2946
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Country | US
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Telephone | 205-926-2992
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Fax | 205-316-7675
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Authorized Official
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Title or Position | CCO
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Name | KAY COX
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Credential |
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Telephone | 205-277-2384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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