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General NPI Number Information
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NPI Number | 1285676619
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR CONSULTANTS OF ALABAMA, P.C.
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 09/20/2013
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Provider Practice Location Address
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Address Line | 2022 BROOKWOOD MED CTR DR ACC SUITE 415
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City | BIRMINGHAM
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State | AL
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Zip | 35209-6808
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Country | US
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Telephone | 205-250-6964
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Fax | 205-250-8916
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Provider Business Mailing Address
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Address Line | 2022 BROOKWOOD MED CTR DR ACC SUITE 415
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City | BIRMINGHAM
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State | AL
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Zip | 35209-6808
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Country | US
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Telephone | 205-250-6964
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Fax | 205-250-8916
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ALFRED W.H. STANLEY JR.
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Credential | M.D.
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Telephone | 205-250-6964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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