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General NPI Number Information
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NPI Number | 1356700298
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Entity Type | Organization
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Legal Business Name | UROGYNECOLOGY CENTER OF HUNTSVILLE, P.C.
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Dates
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Enumeration Date | 02/21/2016
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Last Update Date | 02/21/2016
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Provider Practice Location Address
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Address Line | 204 LOWE AVE SE BUILDING 1, SUITE 2
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4262
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Country | US
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Telephone | 256-517-8861
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Fax | 256-517-8872
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Provider Business Mailing Address
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Address Line | 204 LOWE AVE SE BUILDING 1, SUITE 2
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4262
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Country | US
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Telephone | 256-517-8861
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Fax | 256-517-8872
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | DR. KARI MARIE KUBIK
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Credential | M.D.
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Telephone | 404-694-7966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 29160
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License Number State | AL
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