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NPI Code Detail

MEDICARE: NATHANIEL BAIN

MEDICARE: NATHANIEL BAIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6443CAL

General Provider Information

NPI Number : 1053245944
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHANIEL BAIN
Provider Business Mailing Address
First Line : 2100 SOUTHBRIDGE PKWY STE 660
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-1317
Country : US
Telephone Number : 662-554-8071
Fax Number :
Provider Business Practice Location Address
First Line : 2100 SOUTHBRIDGE PKWY STE 650
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-1317
Country : US
Telephone Number : 662-554-8071
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “ NATHANIEL BAIN ” Practice Location

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