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General NPI Number Information
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NPI Number | 1538634191
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Entity Type | Organization
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Legal Business Name | DRUID CITY INFUSION CLINICS LLC
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Dates
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Enumeration Date | 10/10/2018
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Last Update Date | 11/06/2020
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Provider Practice Location Address
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Address Line | 1325 MCFARLAND BLVD STE 203
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City | NORTHPORT
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State | AL
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Zip | 35476-3275
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Country | US
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Telephone | 205-409-9601
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Fax |
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Provider Business Mailing Address
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Address Line | 100 TOWNCENTER BLVD STE 111A
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City | TUSCALOOSA
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State | AL
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Zip | 35406-1832
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LOGAN E. DAVIS
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Credential |
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Telephone | 205-499-4507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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