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General NPI Number Information
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NPI Number | 1417923129
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR ASSOCIATES OF NORTH ALABAMA, PC
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 880 MONTCLAIR RD 1ST FLOOR
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City | BIRMINGHAM
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State | AL
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Zip | 35213-1972
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Country | US
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Telephone | 205-599-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 1280 COLUMBIANA RD
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City | BIRMINGHAM
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State | AL
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Zip | 35216-1642
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Country | US
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Telephone | 205-599-3540
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Fax |
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Authorized Official
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Title or Position | MEDICAL STAFF AFFAIRS COORDINATOR
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Name | PATRICIA HAWK
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Credential |
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Telephone | 205-599-3524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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