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General NPI Number Information
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NPI Number | 1023311644
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF ALABAMA AT BIRMINGHAM
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Dates
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Enumeration Date | 12/21/2010
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Last Update Date | 12/21/2010
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Provider Practice Location Address
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Address Line | FOT 930, 1530 3RD AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35294-0019
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Country | US
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Telephone | 205-975-2404
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Fax |
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Provider Business Mailing Address
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Address Line | FOT 930, 1530 3RD AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35294-0019
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Country | US
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Telephone | 205-975-2404
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Fax |
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Authorized Official
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Title or Position | ASSISTANT PROFESSOR OF MEDICINE
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Name | TAKUMI YAMADA
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Credential | M.D.
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Telephone | 205-975-2404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | L.3392SP
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License Number State | AL
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