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General NPI Number Information
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NPI Number | 1083087340
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Entity Type | Organization
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Legal Business Name | ALABAMA BARIATRICS AND MINIMALLY INVASIVE SURGERY, PC
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Dates
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Enumeration Date | 11/09/2015
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Last Update Date | 11/09/2015
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Provider Practice Location Address
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Address Line | 705 BANK ST NE
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City | DECATUR
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State | AL
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Zip | 35601-1609
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Country | US
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Telephone | 256-221-6784
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1684
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City | DECATUR
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State | AL
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Zip | 35602-1684
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. WILLIAM JAY SUGGS
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Credential | MD
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Telephone | 256-221-6784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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