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General NPI Number Information
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NPI Number | 1265879084
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Entity Type | Individual
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Provider Name | EMILY C DODENHOFF M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/03/2013
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 1600 7TH AVE SOUTH CPPI 102 DIVISION OF PEDIATRIC CRITICAL CARE
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City | BIRMINGHAM
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State | AL
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Zip | 35233
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Country | US
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Telephone | 205-638-3342
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Fax | 205-975-6505
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Provider Business Mailing Address
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Address Line | PO BOX 55310
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City | BIRMINGHAM
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State | AL
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Zip | 35255-5310
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Country | US
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Telephone | 205-731-9701
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 36868
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License Number State | AL
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