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General NPI Number Information
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NPI Number | 1205190097
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Entity Type | Organization
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Legal Business Name | SMALL STEPS PEDIATRICS, PC
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Dates
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Enumeration Date | 06/27/2012
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Last Update Date | 04/23/2013
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Provider Practice Location Address
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Address Line | 52 MEDICAL PARK DR E SUITE 201
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3430
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Country | US
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Telephone | 205-868-3486
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Fax |
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Provider Business Mailing Address
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Address Line | 52 MEDICAL PARK DR E SUITE 201
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3430
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Country | US
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Telephone | 205-868-3486
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MS. SHAMEZA LA JOY BOYD
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Credential | MD
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Telephone | 205-868-3486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25348
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License Number State | AL
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