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General NPI Number Information
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NPI Number | 1497957500
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Entity Type | Organization
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Legal Business Name | PODIATRY ASSOCIATES PC
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 1101 18TH ST S
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City | BIRMINGHAM
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State | AL
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Zip | 35205-4702
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Country | US
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Telephone | 205-933-9595
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Fax | 205-933-5250
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Provider Business Mailing Address
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Address Line | 1101 18TH ST S
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City | BIRMINGHAM
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State | AL
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Zip | 35205-4702
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Country | US
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Telephone | 205-933-9595
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Fax | 205-933-5250
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT I RUSSELL
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Credential | DPM
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Telephone | 205-933-9595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 124
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 94
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License Number State | AL
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