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General NPI Number Information
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NPI Number | 1053097717
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Entity Type | Organization
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Legal Business Name | MINIMALLY INVASIVE SURGEONS OF ALABAMA
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Dates
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Enumeration Date | 06/26/2023
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 901 LEIGHTON AVE STE 103
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City | ANNISTON
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State | AL
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Zip | 36207-5703
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Country | US
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Telephone | 256-405-0161
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Fax | 256-405-0160
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Provider Business Mailing Address
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Address Line | 901 LEIGHTON AVE STE 103
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City | ANNISTON
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State | AL
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Zip | 36207-5703
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Country | US
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Telephone | 256-405-0161
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Fax | 256-405-0160
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. RICKY D PATEL
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Credential | DO
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Telephone | 732-325-7339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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