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General NPI Number Information
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NPI Number | 1790954295
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Entity Type | Organization
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Legal Business Name | STATE OF ALABAMA
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 276 HIGHWAY 239
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City | CLAYTON
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State | AL
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Zip | 36016-4640
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Country | US
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Telephone | 334-775-2000
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Fax | 334-775-7630
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Provider Business Mailing Address
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Address Line | 50 N RIPLEY ST FAMILY SERVICES DIVISION-OFRM
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City | MONTGOMERY
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State | AL
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Zip | 36130-1001
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Country | US
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Telephone | 334-242-1310
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Fax | 334-242-0198
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Authorized Official
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Title or Position | DEPUTY COMMISSIONER FISCAL & ADMIN
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Name | MR. PARRIS L. CORLEY
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Credential |
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Telephone | 334-242-8395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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