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General NPI Number Information
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NPI Number | 1679238448
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Entity Type | Organization
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Legal Business Name | MOB JOB
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Dates
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Enumeration Date | 11/05/2021
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Last Update Date | 11/05/2021
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Provider Practice Location Address
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Address Line | 5901 AIRPORT BLVD STE 203
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City | MOBILE
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State | AL
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Zip | 36608-3156
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Country | US
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Telephone | 251-342-0505
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Fax | 251-342-0360
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Provider Business Mailing Address
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Address Line | 5901 AIRPORT BLVD STE 203
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City | MOBILE
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State | AL
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Zip | 36608-3156
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Country | US
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Telephone | 251-342-0505
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Fax | 251-342-0360
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Authorized Official
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Title or Position | OWNER
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Name | KRISTIN BERNICE KALMBACHER
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Credential | MD
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Telephone | 415-847-3864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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