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General NPI Number Information
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NPI Number | 1487677811
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Entity Type | Organization
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Legal Business Name | THE UNIVERSITY OF ALABAMA AT BIRMINGHAM
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 10/17/2016
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Provider Practice Location Address
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Address Line | 1716 UNIVERSITY BLVD HPB G080A
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City | BIRMINGHAM
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State | AL
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Zip | 35294-0010
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Country | US
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Telephone | 205-975-2020
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Fax | 205-934-6755
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Provider Business Mailing Address
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Address Line | 1716 UNIVERSITY BLVD HPB G080A
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City | BIRMINGHAM
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State | AL
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Zip | 35294-0010
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Country | US
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Telephone | 205-975-2020
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Fax | 205-934-6755
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Authorized Official
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Title or Position | CLINIC OPERATIONS MANAGER
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Name | MS. MELENDI MORTON
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Credential |
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Telephone | 205-996-6038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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