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General NPI Number Information
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NPI Number | 1598414880
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE ASSOCIATES OF TUSCALOOSA, P.C.
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Dates
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Enumeration Date | 03/22/2022
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Last Update Date | 03/22/2022
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Provider Practice Location Address
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Address Line | 100 RICE MINE RD N STE 100
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City | TUSCALOOSA
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State | AL
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Zip | 35406-3905
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Country | US
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Telephone | 205-349-4200
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Fax | 205-349-4285
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Provider Business Mailing Address
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Address Line | 100 RICE MINE RD N STE 100
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City | TUSCALOOSA
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State | AL
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Zip | 35406-3905
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Country | US
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Telephone | 205-349-4200
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Fax | 205-349-4285
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Authorized Official
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Title or Position | SYSTEM ADMINISTRATOR
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Name | ROBIN MAE RICHARDS
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Credential |
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Telephone | 205-349-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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