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General NPI Number Information
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NPI Number | 1851780951
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Entity Type | Organization
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Legal Business Name | LAKELAND PHYSICIANS LLC
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Dates
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Enumeration Date | 01/13/2015
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Last Update Date | 02/18/2015
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Provider Practice Location Address
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Address Line | 42030 HIGHWAY 195 STE A
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City | HALEYVILLE
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State | AL
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Zip | 35565-7054
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Country | US
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Telephone | 205-485-7243
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Fax | 205-485-7244
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Provider Business Mailing Address
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Address Line | 42030 HIGHWAY 195 STE A
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City | HALEYVILLE
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State | AL
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Zip | 35565-7054
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Country | US
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Telephone | 205-485-7243
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Fax | 205-485-7244
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVE CLAPP
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Credential |
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Telephone | 205-485-7243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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