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General NPI Number Information
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NPI Number | 1316856362
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Entity Type | Organization
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Legal Business Name | UAB ST VINCENTS SPECIALISTS LLC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 810 SAINT VINCENTS DR
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City | BIRMINGHAM
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State | AL
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Zip | 35205-1601
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Country | US
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Telephone | 205-930-2346
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Fax |
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Provider Business Mailing Address
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Address Line | 810 SAINT VINCENTS DR FL 3
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City | BIRMINGHAM
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State | AL
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Zip | 35205-1601
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | SUMMER TAPPAN
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Credential |
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Telephone | 864-809-2844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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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 | 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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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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