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General NPI Number Information
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NPI Number | 1295013696
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Entity Type | Organization
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Legal Business Name | VASCULAR CENTER OF MOBILE, P.C.
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Dates
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Enumeration Date | 08/02/2011
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Last Update Date | 07/01/2022
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Provider Practice Location Address
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Address Line | 1151 DAUPHIN ST
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City | MOBILE
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State | AL
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Zip | 36604
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Country | US
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Telephone | 251-445-0075
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Fax | 251-445-0072
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Provider Business Mailing Address
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Address Line | 1151 DAUPHIN ST
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City | MOBILE
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State | AL
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Zip | 36604-2547
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Country | US
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Telephone | 251-455-0075
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Fax | 251-445-0072
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Authorized Official
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Title or Position | INSURANCE SPECIALIST
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Name | ALYSSA N SEABROOK
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Credential |
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Telephone | 251-445-0075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | MD19175
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License Number State | AL
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