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General NPI Number Information
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NPI Number | 1376675181
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Entity Type | Organization
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Legal Business Name | ANESTHESIA GROUP EAST PC
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 50 MEDICAL PARK DR E
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3401
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Country | US
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Telephone | 205-838-3055
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Fax | 205-838-3517
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Provider Business Mailing Address
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Address Line | 52 MEDICAL PARK DR E SUITE 321
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3430
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Country | US
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Telephone | 205-838-3055
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Fax | 205-838-3517
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Authorized Official
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Title or Position | OFFICE MGR
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Name | BARBARA S BYRD
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Credential |
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Telephone | 205-838-3055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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