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General NPI Number Information
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NPI Number | 1508920141
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Entity Type | Organization
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Legal Business Name | WEST ALABAMA NEUROSURGERY & SPINE, P.C.
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 701 UNIVERSITY BLVD E SUITE 702
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City | TUSCALOOSA
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State | AL
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Zip | 35401-2086
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Country | US
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Telephone | 205-752-0441
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Fax | 205-344-6446
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Provider Business Mailing Address
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Address Line | 701 UNIVERSITY BLVD E SUITE 702
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City | TUSCALOOSA
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State | AL
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Zip | 35401-2086
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Country | US
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Telephone | 205-752-0441
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Fax | 205-344-6446
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRYAN S GIVHAN
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Credential | MD
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Telephone | 205-752-0441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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