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General NPI Number Information
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NPI Number | 1134146830
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Entity Type | Organization
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Legal Business Name | SOUTHERN PATIENT CARE, INC.
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 05/03/2019
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Provider Practice Location Address
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Address Line | 104 OXMOOR RD SUITE 140
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City | BIRMINGHAM
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State | AL
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Zip | 35209-5936
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Country | US
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Telephone | 205-776-8323
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Fax | 205-776-8329
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Provider Business Mailing Address
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Address Line | 120 W PARK DR
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City | BIRMINGHAM
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State | AL
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Zip | 35211-4469
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Country | US
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Telephone | 205-776-8323
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Fax | 205-776-8329
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Authorized Official
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Title or Position | PRESIDENT
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Name | TONI MILLER
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Credential |
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Telephone | 205-776-8323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 23347
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License Number State | AL
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