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General NPI Number Information
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NPI Number | 1538326053
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Entity Type | Organization
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Legal Business Name | ALABAMA NURSING HOME FOOT CARE
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 06/30/2010
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Provider Practice Location Address
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Address Line | 1788 MCFARLAND BLVD N SUITE B
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City | TUSCALOOSA
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State | AL
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Zip | 35406-2190
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Country | US
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Telephone | 205-759-9100
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Fax | 205-759-1821
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Provider Business Mailing Address
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Address Line | 1788 MCFARLAND BLVD N SUITE B
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City | TUSCALOOSA
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State | AL
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Zip | 35406-2190
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Country | US
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Telephone | 205-759-9100
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Fax | 205-759-1821
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. BARRY J GOULD
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Credential | DPM
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Telephone | 205-759-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 272
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License Number State | AL
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