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General NPI Number Information
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NPI Number | 1841366903
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Entity Type | Organization
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Legal Business Name | TUSCALOOSA FAMILY PRACTICE AND OBSTETRICS, P.C.
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 701 UNIVERSITY BLVD E SUITE 507
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City | TUSCALOOSA
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State | AL
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Zip | 35401-2086
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Country | US
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Telephone | 205-752-9500
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Fax | 205-752-9662
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Provider Business Mailing Address
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Address Line | 701 UNIVERSITY BLVD E SUITE 507
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City | TUSCALOOSA
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State | AL
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Zip | 35401-2086
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Country | US
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Telephone | 205-752-9500
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Fax | 205-752-9662
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Authorized Official
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Title or Position | OWNER
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Name | CINDY T. DEDMON
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Credential | M.D.
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Telephone | 205-752-9500
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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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