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General NPI Number Information
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NPI Number | 1710923198
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Entity Type | Organization
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Legal Business Name | FAMILY & INDUSTRIAL HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4725 MOBILE HWY
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City | MONTGOMERY
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State | AL
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Zip | 36108-5126
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Country | US
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Telephone | 334-281-3665
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Fax | 334-281-3578
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Provider Business Mailing Address
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Address Line | PO BOX 241487
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City | MONTGOMERY
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State | AL
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Zip | 36124-1487
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Country | US
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Telephone | 334-281-3665
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Fax | 334-281-3578
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Authorized Official
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Title or Position | OWNER
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Name | NORMAN GARRISON JR.
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Credential | M.D.
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Telephone | 334-281-3665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 13665
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License Number State | AL
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