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General NPI Number Information
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NPI Number | 1770417875
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Entity Type | Organization
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Legal Business Name | RADIANT FAMILY CARE LLC
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 2040 2ND AVE E
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City | ONEONTA
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State | AL
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Zip | 35121-2818
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Country | US
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Telephone | 205-860-7421
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Fax | 205-860-7428
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Provider Business Mailing Address
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Address Line | 5812 CARRINGTON LAKE PKWY
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City | TRUSSVILLE
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State | AL
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Zip | 35173-2890
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Country | US
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Telephone | 205-860-7421
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Fax | 205-860-7428
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Authorized Official
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Title or Position | CEO
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Name | DR. JAYLA SMITH
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Credential | MD
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Telephone | 256-606-1164
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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 |
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License Number State |
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