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General NPI Number Information
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NPI Number | 1700549300
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Entity Type | Organization
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Legal Business Name | PHIFER INCORPORATED
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Dates
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Enumeration Date | 10/20/2021
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Last Update Date | 11/08/2021
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Provider Practice Location Address
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Address Line | 3702 TREVOR PHILLIPS AVE
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City | TUSCALOOSA
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State | AL
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Zip | 35401-7050
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Country | US
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Telephone | 205-750-4330
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Fax | 205-345-1549
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Provider Business Mailing Address
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Address Line | 4400 KAULOOSA AVE
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City | TUSCALOOSA
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State | AL
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Zip | 35401-7042
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Country | US
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Telephone | 205-750-4448
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Fax | 205-750-4890
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Authorized Official
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Title or Position | CLINIC SUPERVISOR
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Name | MRS. TERESA ANN JACOBS
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Credential | RN
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Telephone | 205-750-4330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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