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General NPI Number Information
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NPI Number | 1003029257
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Entity Type | Organization
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Legal Business Name | EYE SURGERY CENTER OF NORTH ALABAMA
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 120 GOVERNORS DR SE SUITE 100
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4320
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Country | US
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Telephone | 256-533-0315
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Fax | 256-533-0422
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Provider Business Mailing Address
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Address Line | 3501 MEMORIAL PKWY SW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5319
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Country | US
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Telephone | 256-428-3937
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM N MITCHELL
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Credential | M.D.
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Telephone | 256-533-0513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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