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General NPI Number Information
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NPI Number | 1891705166
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Entity Type | Organization
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Legal Business Name | BI-CITY MEDICAL MINISTRIES, INC.
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 10/21/2015
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Provider Practice Location Address
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Address Line | 5009 RIVERCHASE DRIVE SUITE 500
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City | PHENIX CITY
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State | AL
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Zip | 36867-7490
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Country | US
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Telephone | 334-448-9505
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Fax | 334-448-9575
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Provider Business Mailing Address
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Address Line | 5009 RIVERCHASE DRIVE SUITE 500
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City | PHENIX CITY
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State | AL
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Zip | 36867-7490
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Country | US
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Telephone | 334-448-9505
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Fax | 334-448-9575
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | TRACY BAILEY
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Credential |
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Telephone | 334-448-9505
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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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