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General NPI Number Information
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NPI Number | 1669617650
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC ASSOCIATES OF NORTH AL, P.C.
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Dates
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Enumeration Date | 12/05/2008
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Last Update Date | 12/05/2008
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Provider Practice Location Address
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Address Line | 1606 CHURCH ST SE
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City | DECATUR
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State | AL
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Zip | 35601-3402
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Country | US
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Telephone | 256-351-1444
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Fax | 256-351-8897
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Provider Business Mailing Address
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Address Line | 1606 CHURCH ST SE
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City | DECATUR
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State | AL
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Zip | 35601-3402
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Country | US
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Telephone | 256-351-1444
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Fax | 256-351-8897
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT SCOTT HELLARD
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Credential | M.D.
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Telephone | 256-351-1444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 21599
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License Number State | AL
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