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General NPI Number Information
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NPI Number | 1841712684
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Entity Type | Organization
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Legal Business Name | ALABAMA MEDICAL GROUP, PC
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Dates
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Enumeration Date | 07/13/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 101 MEMORIAL HOSPITAL DR STE 200
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City | MOBILE
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State | AL
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Zip | 36608-1787
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Country | US
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Telephone | 251-414-5900
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Fax | 251-459-8964
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Provider Business Mailing Address
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Address Line | 101 MEMORIAL HOSPITAL DR STE 200
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City | MOBILE
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State | AL
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Zip | 36608-1787
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Country | US
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Telephone | 251-414-5900
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Fax | 251-281-1163
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CHRISTINE HOLLIMAN
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Credential | ADMINISTRATOR
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Telephone | 251-414-5900
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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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