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General NPI Number Information
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NPI Number | 1487096475
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION
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Dates
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Enumeration Date | 07/19/2013
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Last Update Date | 07/19/2013
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Provider Practice Location Address
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Address Line | 1600 7TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1711
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Country | US
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Telephone | 205-638-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 838 MOUNTAIN BRANCH LN
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City | VESTAVIA
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State | AL
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Zip | 35226-1804
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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 | CHIEF OF PEDIATRIC SURGERY
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Name | MIKE CHEN
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Credential | M.D.
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Telephone | 205-638-9688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | 1-112928
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License Number State | AL
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