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General NPI Number Information
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NPI Number | 1609725647
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Entity Type | Organization
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Legal Business Name | 3 KBD LLC
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 44 ALIANT PKWY
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City | ALEXANDER CITY
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State | AL
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Zip | 35010-3466
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Country | US
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Telephone | 256-234-4131
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Fax | 256-329-9979
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Provider Business Mailing Address
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Address Line | 44 ALIANT PKWY
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City | ALEXANDER CITY
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State | AL
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Zip | 35010-3466
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Country | US
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Telephone | 256-234-4131
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Fax | 256-329-9979
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Authorized Official
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Title or Position | PROVIDER
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Name | BLAIR TAYLOR GILLILAND
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Credential | CRNP
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Telephone | 256-234-4131
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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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