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General NPI Number Information
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NPI Number | 1568256055
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Entity Type | Organization
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Legal Business Name | COMMUNITY FAMILY MEDICINE LLC
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 2127 N HICKORY ST STE E
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City | LOXLEY
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State | AL
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Zip | 36551-2412
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Country | US
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Telephone | 251-620-4987
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Fax |
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Provider Business Mailing Address
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Address Line | 181 W VALLEY AVE STE 245
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City | BIRMINGHAM
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State | AL
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Zip | 35209-3691
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Country | US
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Telephone | 251-620-4987
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. CALEB WHITEHEAD
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Credential | DO
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Telephone | 850-712-5407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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