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General NPI Number Information
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NPI Number | 1285518324
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Entity Type | Organization
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Legal Business Name | LIBERTY PARK PEDIATRICS
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 3735 CORPORATE WOODS DR STE 105
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City | VESTAVIA
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State | AL
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Zip | 35242-2296
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Country | US
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Telephone | 205-201-0801
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Fax | 888-830-6323
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Provider Business Mailing Address
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Address Line | 717 PARK RIDGE CIR
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City | VESTAVIA
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State | AL
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Zip | 35242-7517
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Country | US
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Telephone | 470-658-7078
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. REBECCA ALLISON THOMPSON
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Credential | MD
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Telephone | 470-658-7078
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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 |
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License Number State |
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