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General NPI Number Information
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NPI Number | 1154761310
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Entity Type | Organization
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Legal Business Name | BROOKWOOD SPECIALTY CARE ENDOCRINOLOGY, LLC
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Dates
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Enumeration Date | 07/02/2013
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Last Update Date | 05/26/2016
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Provider Practice Location Address
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Address Line | 513 BROOKWOOD BLVD STE 400
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City | BIRMINGHAM
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State | AL
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Zip | 35209-6862
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Country | US
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Telephone | 205-802-6722
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Fax | 205-802-6730
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Provider Business Mailing Address
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Address Line | PO BOX 742913
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City | ATLANTA
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State | GA
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Zip | 30374-2913
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Country | US
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Telephone | 205-802-6722
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Fax | 205-802-6730
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Authorized Official
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Title or Position | REGIONAL CFO, TENET
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Name | MR. WESLEY O. JAMES
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Credential |
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Telephone | 404-265-5009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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