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General NPI Number Information
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NPI Number | 1568557502
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Entity Type | Organization
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Legal Business Name | ALABAMA FAMILY PRACTICE, P.C.
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 07/25/2012
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Provider Practice Location Address
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Address Line | 370 ST. LUKES DRIVE
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City | MONTGOMERY
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State | AL
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Zip | 36117
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Country | US
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Telephone | 334-213-3606
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Fax | 334-213-3608
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Provider Business Mailing Address
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Address Line | 370 ST. LUKES DRIVE
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City | MONTGOMERY
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State | AL
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Zip | 36117
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Country | US
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Telephone | 334-213-3606
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Fax | 334-213-3608
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Authorized Official
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Title or Position | PHYSICIAN AND MANAGER
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Name | DR. KATHY CODY LINDSEY
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Credential | D.O.
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Telephone | 334-213-3606
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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 | 13088
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License Number State | AL
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