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General NPI Number Information
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NPI Number | 1003926270
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Entity Type | Individual
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Provider Name | CHARLES R LAW M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 10/06/2019
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Provider Practice Location Address
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Address Line | 120 OSLO CIR
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City | BIRMINGHAM
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State | AL
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Zip | 35211-5965
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Country | US
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Telephone | 205-944-3944
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Fax | 205-413-4914
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Provider Business Mailing Address
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Address Line | 100 OSLO CIR
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City | BIRMINGHAM
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State | AL
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Zip | 35211-5965
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Country | US
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Telephone | 205-944-3944
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Fax | 205-944-3964
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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 | 2081P0010X
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Taxonomy Name | Pediatric Rehabilitation Medicine Physician
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License Number | MD.20968
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MD.20968
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License Number State | AL
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