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General NPI Number Information
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NPI Number | 1477534824
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Entity Type | Organization
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Legal Business Name | AZALEA ORTHOPAEDICS &SPORTS MEDICINE, P.C.
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Dates
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Enumeration Date | 11/10/2005
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Last Update Date | 08/27/2007
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Provider Practice Location Address
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Address Line | 2860 DAUPHIN ST SUITE B
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City | MOBILE
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State | AL
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Zip | 36606-2478
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Country | US
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Telephone | 251-479-1441
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Fax | 251-479-0144
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Provider Business Mailing Address
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Address Line | PO BOX 70016
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City | MOBILE
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State | AL
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Zip | 36670-1016
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Country | US
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Telephone | 251-479-1441
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Fax | 251-479-0144
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. ROSEMARIE M MORWESSEL
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Credential | M.D.
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Telephone | 251-479-1441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 17698
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License Number State | AL
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