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General NPI Number Information
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NPI Number | 1114308335
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Entity Type | Organization
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Legal Business Name | ROSEMARIE CAILLIER, DPM, PC
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Dates
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Enumeration Date | 06/12/2015
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Last Update Date | 11/15/2016
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Provider Practice Location Address
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Address Line | 2002 MCFARLAND BLVD E SUITE 207
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City | TUSCALOOSA
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State | AL
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Zip | 35404-5856
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Country | US
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Telephone | 205-409-0175
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Fax | 205-764-5800
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Provider Business Mailing Address
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Address Line | 3546 BROOK HIGHLAND DR
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City | TUSCALOOSA
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State | AL
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Zip | 35406-2952
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Country | US
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Telephone | 205-409-0175
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Fax | 205-764-5937
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. ROSEMARIE JACK CAILLIER
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Credential | DPM
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Telephone | 585-203-7486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 313
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License Number State | AL
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