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General NPI Number Information
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NPI Number | 1467894592
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Entity Type | Organization
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Legal Business Name | UAB SCHOOL OF MEDICINE
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Dates
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Enumeration Date | 07/17/2013
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Last Update Date | 07/17/2013
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Provider Practice Location Address
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Address Line | UAB SCHOOL OF MEDICINE 1702 2ND AVE. S. FOT 1203
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City | BIRMINGHAM
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State | AL
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Zip | 35294-3412
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Country | US
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Telephone | 205-975-8884
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Fax |
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Provider Business Mailing Address
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Address Line | 503 SOUTHWEST PKWY 606
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City | COLLEGE STATION
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State | TX
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Zip | 77840-4762
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP FINANCIAL AFFA
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Name | RICHARD MARGISON
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Credential |
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Telephone | 205-581-2726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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