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General NPI Number Information
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NPI Number | 1295818573
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Entity Type | Organization
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Legal Business Name | CHIVERS R WOODRUFF MD PC
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 11/26/2007
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Provider Practice Location Address
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Address Line | 1220 17TH ST S
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City | BIRMINGHAM
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State | AL
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Zip | 35205-4747
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Country | US
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Telephone | 256-532-1888
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Fax | 256-532-3941
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Provider Business Mailing Address
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Address Line | PO BOX 660986
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City | VESTAVIA HILLS
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State | AL
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Zip | 35266-0986
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Country | US
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Telephone | 256-532-1888
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Fax | 256-532-3941
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Authorized Official
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Title or Position | OWNER/MD
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Name | CHIVERS R WOODRUFF
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Credential | MD
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Telephone | 256-532-1888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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