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General NPI Number Information
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NPI Number | 1356490627
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Entity Type | Organization
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Legal Business Name | AZALEA PHYSICIANS FOR WOMEN, P.C.
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 05/30/2008
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Provider Practice Location Address
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Address Line | 2126 W ROY PARKER RD SUITE 204
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City | OZARK
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State | AL
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Zip | 36360-8566
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Country | US
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Telephone | 334-445-1025
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Fax | 334-445-1026
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Provider Business Mailing Address
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Address Line | 2126 W ROY PARKER RD SUITE 204
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City | OZARK
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State | AL
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Zip | 36360-8566
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Country | US
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Telephone | 334-445-1025
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Fax | 334-445-1026
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DAVID P DULANEY
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Credential | MD
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Telephone | 334-445-1025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 00026094
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 00023709
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License Number State | AL
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