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General NPI Number Information
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NPI Number | 1346213881
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Entity Type | Organization
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Legal Business Name | NORTH ALABAMA CARDIOLOGY CENTER
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 503 S 5TH ST
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City | GADSDEN
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State | AL
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Zip | 35901-5103
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Country | US
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Telephone | 256-546-6200
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Fax | 256-546-6250
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Provider Business Mailing Address
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Address Line | 503 S 5TH ST
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City | GADSDEN
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State | AL
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Zip | 35901-5103
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Country | US
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Telephone | 256-546-6200
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Fax | 256-546-6250
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LARUE S SALSTER
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Credential | RCS, RVS
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Telephone | 256-546-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 00017905
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License Number State | AL
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