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General NPI Number Information
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NPI Number | 1104879741
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Entity Type | Organization
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Legal Business Name | NORWOOD CLINIC INC
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 03/25/2015
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Provider Practice Location Address
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Address Line | 2022 BROOKWOOD MEDICAL CENTER DRIVE SUITE 510
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City | BIRMINGHAM
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State | AL
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Zip | 35209-6898
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Country | US
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Telephone | 205-250-6000
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Fax | 205-250-6848
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Provider Business Mailing Address
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Address Line | PO BOX 830230 ATTN CREDENTIALING
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City | BIRMINGHAM
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State | AL
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Zip | 35283-0230
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Country | US
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Telephone | 205-250-6000
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Fax | 205-250-6848
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Authorized Official
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Title or Position | CAO
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Name | JENNIFER PERRY
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Credential |
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Telephone | 205-250-6896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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