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General NPI Number Information
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NPI Number | 1881705994
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Entity Type | Organization
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Legal Business Name | CENTRAL NORTH ALABAMA HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 05/26/2023
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Provider Practice Location Address
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Address Line | 1005 W MARKET ST SUITE B
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City | ATHENS
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State | AL
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Zip | 35611-2454
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Country | US
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Telephone | 256-230-3061
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 18488
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City | HUNTSVILLE
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State | AL
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Zip | 35804-8488
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Country | US
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Telephone | 256-534-8659
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. CARLETON H. A. PYFROM
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Credential |
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Telephone | 256-534-8659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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