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NPI 1639103666

NPI 1639103666 : RHEUMATOLOGY ASSOCIATES OF NORTH ALABAMA, PC : HUNTSVILLE, AL

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General NPI Number Information
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    NPI Number           |    1639103666
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    Entity Type          |    Organization 
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    Legal Business Name  |    RHEUMATOLOGY ASSOCIATES OF NORTH ALABAMA, PC 
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Dates
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    Enumeration Date     |    07/10/2006
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    Last Update Date     |    01/09/2025
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Provider Practice Location Address
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    Address Line         |    720 GALLATIN STREET SUITE 500
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    City                 |    HUNTSVILLE
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    State                |    AL
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    Zip                  |    35801-4414
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    Country              |    US
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    Telephone            |    256-551-6510
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    Fax                  |    256-551-6507
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Provider Business Mailing Address
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    Address Line         |    4606 BELLEWOOD DR 
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    City                 |    HUNTSVILLE
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    State                |    AL
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    Zip                  |    35802-1783
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    Country              |    US
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    Telephone            |    256-551-6510
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    Fax                  |    256-704-7095
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Authorized Official
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    Title or Position    |    PHYSICIAN CREDENTIALER
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    Name                 |    MS. CONNIE FRANCES DUFOUR 
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    Credential           |    
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    Telephone            |    256-704-7040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RR0500X
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    Taxonomy Name        |    Rheumatology Physician
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    License Number       |    
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    License Number State |    AL
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