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General NPI Number Information
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NPI Number | 1073553897
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Entity Type | Individual
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Provider Name | JAMES M CORDER III MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 01/06/2016
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Provider Practice Location Address
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Address Line | 1820 RICE MINE RD N SUITE 200
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City | TUSCALOOSA
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State | AL
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Zip | 35406-3281
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Country | US
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Telephone | 205-333-4949
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Fax | 205-333-4660
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Provider Business Mailing Address
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Address Line | 701 UNIVERSITY BLVD E SUITE 604
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City | TUSCALOOSA
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State | AL
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Zip | 35401-2086
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Country | US
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Telephone | 205-759-6925
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Fax | 205-759-6926
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 25573
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License Number State | AL
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