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General NPI Number Information
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NPI Number | 1992178628
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Entity Type | Organization
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Legal Business Name | NORTHERN ALABAMA PHYSICIANS, LLP
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Dates
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Enumeration Date | 11/03/2015
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Last Update Date | 11/03/2015
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Provider Practice Location Address
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Address Line | 4370 W MAIN ST
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City | DOTHAN
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State | AL
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Zip | 36305-1056
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Country | US
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Telephone | 334-793-5000
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Fax | 334-793-4613
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Provider Business Mailing Address
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Address Line | PO BOX 602159
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City | CHARLOTTE
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State | NC
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Zip | 28260-2159
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Country | US
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Telephone | 800-210-7034
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Fax | 231-922-4030
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DERIK K KING
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Credential | M.D.
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Telephone | 866-916-5259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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