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General NPI Number Information
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NPI Number | 1386756997
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Entity Type | Organization
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Legal Business Name | UNIVERSITY GASTROENTEROLOGY SPECIALISTS PC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/07/2014
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Provider Practice Location Address
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Address Line | 511 ENERGY CENTER BLVD BLDG 7 STE A
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City | NORTHPORT
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State | AL
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Zip | 35473-5834
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Country | US
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Telephone | 205-523-0160
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Fax | 205-986-0081
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Provider Business Mailing Address
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Address Line | 511 ENERGY CENTER BLVD BLDG 7 STE A
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City | NORTHPORT
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State | AL
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Zip | 35473-5834
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Country | US
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Telephone | 205-523-0160
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Fax | 205-986-0081
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | HOWARD S BROWN
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Credential | MD
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Telephone | 205-523-0160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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