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General NPI Number Information
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NPI Number | 1134196249
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Entity Type | Organization
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Legal Business Name | GAYLON R. ROGERS MD, PC
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 2018 BROOKWOOD MEDICAL CENTER DRIVE PROFESSIONAL OFFICE BUILDING SUITE 315
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City | BIRMINGHAM
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State | AL
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Zip | 35209
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Country | US
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Telephone | 205-877-2747
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Fax | 205-877-2526
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Provider Business Mailing Address
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Address Line | 2018 BROOKWOOD MEDICAL CENTER DRIVE PROFESSIONAL OFFICE BUILDING SUITE 315
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City | BIRMINGHAM
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State | AL
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Zip | 35209
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Country | US
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Telephone | 205-877-2747
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Fax | 205-877-2526
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. CYNTHIA R LIVINGSTON
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Credential | CMC
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Telephone | 205-877-2747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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