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General NPI Number Information
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NPI Number | 1619020443
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Entity Type | Organization
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Legal Business Name | EAST ALABAMA MEDICAL CENTER PRENATAL CLINIC
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2000 WAVERLY PKWY
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City | OPELIKA
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State | AL
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Zip | 36801-4739
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Country | US
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Telephone | 334-528-5971
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Fax | 334-741-8278
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Provider Business Mailing Address
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Address Line | 2000 WAVERLY PKWY
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City | OPELIKA
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State | AL
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Zip | 36801-4739
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Country | US
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Telephone | 334-528-5971
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Fax | 334-741-8278
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Authorized Official
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Title or Position | MANAGER - PRENATAL CLINIC
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Name | PATRICIA C VINCENT
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Credential |
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Telephone | 334-528-5974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number |
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License Number State |
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