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General NPI Number Information
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NPI Number | 1104027200
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Entity Type | Organization
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Legal Business Name | MOBILE INFIRMARY ASSOCIATION
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 12/13/2007
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Provider Practice Location Address
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Address Line | 5 MOBILE INFIRMARY CIR
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City | MOBILE
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State | AL
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Zip | 36607-3513
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Country | US
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Telephone | 251-435-3283
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Fax | 251-435-3098
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Provider Business Mailing Address
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Address Line | 5 MOBILE INFIRMARY CIR
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City | MOBILE
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State | AL
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Zip | 36607-3513
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Country | US
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Telephone | 251-435-3283
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Fax | 251-435-3098
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Authorized Official
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Title or Position | DIRECTOR CARDIAC REHABILITATION
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Name | MISS ROMIE SUE ASHER
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Credential | MED
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Telephone | 251-435-4785
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0404X
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Taxonomy Name | Cardiac Rehabilitation Clinic/Center
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License Number | 00003134
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License Number State | AL
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