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General NPI Number Information
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NPI Number | 1265553424
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Entity Type | Organization
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Legal Business Name | CENTRAL ALABAMA OBGYN & ASSOCIATES
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2024 CHESTNUT ST
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City | MONTGOMERY
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State | AL
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Zip | 36106-1111
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Country | US
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Telephone | 334-265-3543
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Fax | 334-262-3040
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Provider Business Mailing Address
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Address Line | 2024 CHESTNUT ST
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City | MONTGOMERY
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State | AL
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Zip | 36106-1111
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Country | US
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Telephone | 334-265-3543
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Fax | 334-262-3040
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROGER S DUGGAR
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Credential | M.D.
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Telephone | 334-265-3543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 00007047
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License Number State | AL
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