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General NPI Number Information
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NPI Number | 1225181795
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Entity Type | Organization
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Legal Business Name | BROOKWOOD ENT ASSOCIATES, P.C.
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2018 BROOKWOOD MEDICAL CTR DR SUITE 205
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City | BIRMINGHAM
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State | AL
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Zip | 35209-6898
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Country | US
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Telephone | 205-877-2827
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Fax | 205-877-2829
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Provider Business Mailing Address
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Address Line | 2018 BROOKWOOD MEDICAL CTR DR SUITE 205
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City | BIRMINGHAM
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State | AL
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Zip | 35209-6898
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Country | US
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Telephone | 205-877-2827
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Fax | 205-877-2829
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ALANE HUDSON
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Credential |
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Telephone | 205-877-2827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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