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General NPI Number Information
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NPI Number | 1902402886
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Entity Type | Organization
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Legal Business Name | FM CLINIC LLC
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Dates
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Enumeration Date | 12/07/2020
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 1490 HIGHWAY 72 E
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City | HUNTSVILLE
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State | AL
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Zip | 35811-1508
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Country | US
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Telephone | 256-428-2615
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11023
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City | HUNTSVILLE
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State | AL
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Zip | 35814-1023
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Country | US
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Telephone | 256-361-9894
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Fax | 256-585-3971
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Authorized Official
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Title or Position | OWNER
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Name | MUHAMMAD ALY
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Credential | MD
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Telephone | 256-361-9894
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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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