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General NPI Number Information
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NPI Number | 1063668515
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Entity Type | Organization
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Legal Business Name | ALABAMA NEUROLOGY ASSOCIATES, PC
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Dates
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Enumeration Date | 08/15/2008
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Last Update Date | 08/15/2008
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Provider Practice Location Address
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Address Line | 509 BROOKWOOD BLVD STE # 101A
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City | BIRMINGHAM
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State | AL
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Zip | 35209-6801
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Country | US
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Telephone | 205-803-2210
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Fax | 205-803-2214
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Provider Business Mailing Address
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Address Line | 509 BROOKWOOD BLVD STE # 101A
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City | BIRMINGHAM
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State | AL
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Zip | 35209
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Country | US
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Telephone | 205-803-2210
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Fax | 205-803-2214
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Authorized Official
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Title or Position | DOCTOR
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Name | EMILY S RISER
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Credential | M.D.
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Telephone | 205-803-2210
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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 | 12140
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 12139
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License Number State | AL
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