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General NPI Number Information
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NPI Number | 1932441086
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Entity Type | Individual
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Provider Name | LALLEH FATIMEH-ADHAMI VIGO M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/26/2013
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 8331 MADISON BLVD STE 100-F
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City | MADISON
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State | AL
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Zip | 35758-2070
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Country | US
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Telephone | 256-203-6684
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Fax | 256-678-9650
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Provider Business Mailing Address
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Address Line | 8331 MADISON BLVD STE 100-F
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City | MADISON
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State | AL
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Zip | 35758-2070
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Country | US
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Telephone | 256-203-6684
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Fax | 256-678-9650
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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.35783
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License Number State | AL
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