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General NPI Number Information
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NPI Number | 1295740785
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Entity Type | Individual
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Provider Name | ROSEMARIE JACK CAILLIER DPM
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Gender | Female
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 06/12/2015
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Provider Practice Location Address
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Address Line | 1800 MCFARLAND BLVD N SUITE 220
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City | TUSCALOOSA
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State | AL
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Zip | 35406-2114
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Country | US
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Telephone | 205-409-0175
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Fax | 205-764-5937
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Provider Business Mailing Address
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Address Line | 3546 BROOK HIGHLAND DR
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City | TUSCALOOSA
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State | AL
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Zip | 35406-2952
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Country | US
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Telephone | 205-409-0175
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Fax | 205-764-5937
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | DPMPD227R
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 313
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License Number State | AL
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