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General NPI Number Information
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NPI Number | 1699840827
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Entity Type | Organization
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Legal Business Name | LONNIE N. ALBIN, M.D., FAMILY MEDICINE, P.C.
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 04/20/2012
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Provider Practice Location Address
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Address Line | 507 HARLEY STREET
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City | SCOTTSBORO
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State | AL
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Zip | 35768
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Country | US
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Telephone | 256-259-5550
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Fax | 259-256-5552
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Provider Business Mailing Address
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Address Line | 507 HARLEY STREET
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City | SCOTTSBORO
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State | AL
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Zip | 35768
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Country | US
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Telephone | 256-259-5550
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Fax | 259-256-5552
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | LONNIE N ALBIN
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Credential | MD
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Telephone | 256-259-5550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20176
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License Number State | AL
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