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General NPI Number Information
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NPI Number | 1891961678
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Entity Type | Organization
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Legal Business Name | NORTH ALABAMA PODIATRY, LLC
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 01/30/2015
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Provider Practice Location Address
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Address Line | 2200A 2ND ST
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City | MUSCLE SHOALS
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State | AL
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Zip | 35661-1271
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Country | US
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Telephone | 256-381-3878
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Fax | 256-381-6040
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Provider Business Mailing Address
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Address Line | PO BOX 2583
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City | MUSCLE SHOALS
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State | AL
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Zip | 35662-2583
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Country | US
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Telephone | 256-381-3878
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Fax | 256-381-6040
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Authorized Official
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Title or Position | DOCTOR/SOLE MBR
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Name | DR. MICHAEL R LINVILLE
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Credential | DPM
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Telephone | 256-381-3878
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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 | 0259
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License Number State | AL
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