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General NPI Number Information
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NPI Number | 1902173222
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Entity Type | Organization
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Legal Business Name | ANALYTIC OPTIONS PC
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 315 SAINT LUKES DR
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City | MONTGOMERY
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State | AL
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Zip | 36117-7109
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Country | US
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Telephone | 334-221-4741
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Fax |
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Provider Business Mailing Address
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Address Line | 7956 VAUGHN RD SUITE 301
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City | MONTGOMERY
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State | AL
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Zip | 36116-6625
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Country | US
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Telephone | 334-221-4741
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES HENRY EDWARDS III
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Credential | MD
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Telephone | 203-512-3899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD.30616
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License Number State | AL
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