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General NPI Number Information
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NPI Number | 1861882243
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Entity Type | Organization
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Legal Business Name | NORTHEAST ALABAMA FAMILY FOOTCARE,L.L.C.
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Dates
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Enumeration Date | 01/23/2015
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Last Update Date | 01/23/2015
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Provider Practice Location Address
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Address Line | 627 E MAIN ST SUITE B
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City | ALBERTVILLE
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State | AL
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Zip | 35950-2461
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Country | US
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Telephone | 256-894-5900
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Fax | 256-894-5901
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Provider Business Mailing Address
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Address Line | 627 E MAIN ST SUITE B
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City | ALBERTVILLE
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State | AL
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Zip | 35950-2461
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Country | US
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Telephone | 256-894-5900
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Fax | 256-894-5901
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HATTIE M. SNYDER
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Credential | D.P.M.
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Telephone | 256-894-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 216
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License Number State | AL
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