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General NPI Number Information
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NPI Number | 1528628161
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Entity Type | Organization
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Legal Business Name | PAUL DUDLEY FREEMAN ESTATE BETH MULLINS FREEMAN ADM
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Dates
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Enumeration Date | 06/17/2019
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Last Update Date | 06/17/2019
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Provider Practice Location Address
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Address Line | 1541 3RD ST NE
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City | CULLMAN
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State | AL
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Zip | 35055-2052
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Country | US
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Telephone | 256-739-4439
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Fax | 253-739-4440
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Provider Business Mailing Address
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Address Line | 1541 3RD ST NE
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City | CULLMAN
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State | AL
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Zip | 35055-2052
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Country | US
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Telephone | 256-739-4439
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Fax | 253-739-4440
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | PATRICIA S ALLEN
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Credential |
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Telephone | 256-739-4439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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