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General NPI Number Information
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NPI Number | 1346652542
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Entity Type | Organization
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Legal Business Name | ANESTHESIA SOUTH INC
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 05/22/2014
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Provider Practice Location Address
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Address Line | 318 N LAKE RD
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City | BIRMINGHAM
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State | AL
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Zip | 35242-7028
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Country | US
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Telephone | 205-902-7578
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Fax | 205-380-9995
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Provider Business Mailing Address
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Address Line | 318 N LAKE RD
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City | BIRMINGHAM
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State | AL
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Zip | 35242-7028
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Country | US
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Telephone | 205-902-7578
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Fax | 205-380-9995
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JUDITH D. COLLIER
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Credential | CRNA
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Telephone | 205-902-7678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 1022730
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License Number State | AL
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