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General NPI Number Information
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NPI Number | 1063511079
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Entity Type | Organization
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Legal Business Name | ANDREW M. DEWITT MDPC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 2660 10TH AVE S STE 2222
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City | BIRMINGHAM
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State | AL
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Zip | 35205-1605
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Country | US
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Telephone | 205-502-4400
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Fax | 205-502-1210
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Provider Business Mailing Address
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Address Line | 2660 10TH AVE S STE 2222
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City | BIRMINGHAM
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State | AL
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Zip | 35205-1605
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Country | US
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Telephone | 205-502-4400
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Fax | 205-502-1210
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREW M DEWITT
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Credential | M.D.
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Telephone | 205-502-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | AL19324
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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