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General NPI Number Information
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NPI Number | 1811288392
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Entity Type | Organization
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Legal Business Name | BIRMINGHAM INTEGRATIVE HEALTH
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Dates
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Enumeration Date | 05/02/2011
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Last Update Date | 05/02/2011
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Provider Practice Location Address
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Address Line | 7299 GADSDEN HWY
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City | TRUSSVILLE
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State | AL
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Zip | 35173-1688
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Country | US
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Telephone | 205-655-6446
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Fax | 205-655-8252
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Provider Business Mailing Address
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Address Line | PO BOX 220
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City | TRUSSVILLE
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State | AL
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Zip | 35173-0220
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Country | US
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Telephone | 205-655-6446
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Fax | 205-655-8252
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Authorized Official
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Title or Position | OWNER/SOLE PROPIETOR
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Name | DR. MELANIE MILLER
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Credential | MD
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Telephone | 205-655-6446
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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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