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General NPI Number Information
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NPI Number | 1740021476
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Entity Type | Organization
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Legal Business Name | MOBILE INFIRMARY ASSOCIATION
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 1720 SPRING HILL AVE STE 401
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City | MOBILE
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State | AL
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Zip | 36604-1410
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Country | US
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Telephone | 251-210-3250
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Fax | 251-210-3251
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Provider Business Mailing Address
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Address Line | PO BOX 2226
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City | MOBILE
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State | AL
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Zip | 36652-2226
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Country | US
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Telephone | 251-435-2425
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, REIMBURSEMENT
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Name | RANDY W REDFOOT
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Credential |
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Telephone | 251-435-2290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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