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General NPI Number Information
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NPI Number | 1285771261
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Entity Type | Organization
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Legal Business Name | BOARD OF TRUSTEES, UNIVERSITY OF ALABAMA
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/28/2017
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Provider Practice Location Address
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Address Line | 700 UNIV BLVD E ROOM 145
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City | TUSCALOOSA
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State | AL
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Zip | 35401-2028
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Country | US
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Telephone | 205-348-7131
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Fax | 205-348-1845
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Provider Business Mailing Address
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Address Line | BOX 870242
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City | TUSCALOOSA
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State | AL
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Zip | 35487-0242
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Country | US
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Telephone | 205-348-7131
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Fax | 205-348-1845
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Authorized Official
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Title or Position | ACCOUNTING ASSISTANT
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Name | MS. MARY DURRETT
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Credential |
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Telephone | 205-348-1832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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