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General NPI Number Information
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NPI Number | 1114696234
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Entity Type | Organization
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Legal Business Name | ONE NINETEEN GI ASC, LLC
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Dates
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Enumeration Date | 09/11/2021
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 7191 CAHABA VALLEY RD SUITE 202
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City | BIRMINGHAM
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State | AL
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Zip | 35242
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Country | US
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Telephone | 817-343-2859
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 W MCEWEN DR STE 350
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City | FRANKLIN
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State | TN
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Zip | 37067-1792
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Country | US
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Telephone | 817-343-2859
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Fax |
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Authorized Official
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Title or Position | BOARD PRESIDENT
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Name | CHARLES DASHER
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Credential | MD
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Telephone | 205-639-2871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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