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General NPI Number Information
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NPI Number | 1679609978
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Entity Type | Organization
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Legal Business Name | ALABAMA FOOT CENTER INCORPORATED
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 05/23/2008
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Provider Practice Location Address
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Address Line | 1800 MCFARLAND BLVD N SUITE 220
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City | TUSCALOOSA
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State | AL
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Zip | 35406-2114
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Country | US
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Telephone | 205-759-2851
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 MCFARLAND BLVD N SUITE 220
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City | TUSCALOOSA
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State | AL
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Zip | 35406-2114
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Country | US
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Telephone | 205-759-2851
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTOPHER J DEPORTER
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Credential | DPM
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Telephone | 205-759-2851
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 143
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License Number State | AL
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