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General NPI Number Information
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NPI Number | 1215029053
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Entity Type | Organization
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Legal Business Name | AUBURN DERMATOLOGY AND SKIN CANCER CENTER
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 785 N DEAN RD STE 400
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City | AUBURN
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State | AL
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Zip | 36830-4034
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Country | US
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Telephone | 334-887-5060
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Fax | 334-887-4367
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Provider Business Mailing Address
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Address Line | 785 N DEAN RD STE 400
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City | AUBURN
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State | AL
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Zip | 36830-4034
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Country | US
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Telephone | 334-887-5060
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Fax | 334-887-4367
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | PATTY MAY
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Credential |
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Telephone | 334-887-5060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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