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General NPI Number Information
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NPI Number | 1174960926
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Entity Type | Organization
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Legal Business Name | ALABAMA ORTHOPAEDIC SPORTS MEDICINE LLC
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Dates
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Enumeration Date | 06/03/2013
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 6401 JORDAN RD SUITE A
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City | DAPHNE
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State | AL
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Zip | 36526-4728
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Country | US
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Telephone | 251-491-2676
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Fax | 251-491-2685
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Provider Business Mailing Address
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Address Line | 6401 JORDAN RD STE A
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City | DAPHNE
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State | AL
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Zip | 36526-4771
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Country | US
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Telephone | 251-491-2676
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Fax | 251-491-2685
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. DANIEL E MATTHEWS
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Credential | MD
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Telephone | 251-491-2676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 21607
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License Number State | AL
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