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General NPI Number Information
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NPI Number | 1073551172
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Entity Type | Organization
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Legal Business Name | GASTROENTEROLOGY ASSOCSO
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 01/02/2008
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Provider Practice Location Address
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Address Line | 2700 10TH AVE S STE 406
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City | BIRMINGHAM
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State | AL
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Zip | 35205-1250
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Country | US
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Telephone | 205-933-0960
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Fax | 205-933-0962
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Provider Business Mailing Address
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Address Line | 2700 10TH AVE S STE 406
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City | BIRMINGHAM
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State | AL
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Zip | 35205-1250
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Country | US
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Telephone | 205-933-0960
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Fax | 205-933-0962
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN LANIER COLEMAN
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Credential | MD
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Telephone | 205-933-0960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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