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General NPI Number Information
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NPI Number | 1063468072
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF SOUTH ALABAMA
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 2451 UNIVERSITY HOSPITAL DR
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City | MOBILE
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State | AL
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Zip | 36617-2300
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Country | US
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Telephone | 251-471-7110
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 40010
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City | MOBILE
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State | AL
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Zip | 36640-0010
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Country | US
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Telephone | 251-471-7110
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Fax |
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | KRISTEN ROBERTS
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Credential |
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Telephone | 251-460-1475
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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 | 11849
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License Number State | AL
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