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General NPI Number Information
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NPI Number | 1508932583
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Entity Type | Organization
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Legal Business Name | BIRMINGHAM HEART CLINIC, PLLC
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 100 PILOT MEDICAL DRIVE SUITE 300
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3412
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Country | US
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Telephone | 205-856-2284
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Fax | 205-815-4777
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Provider Business Mailing Address
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Address Line | 100 PILOT MEDICAL DRIVE SUITE 300
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3412
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Country | US
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Telephone | 205-856-2284
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Fax | 205-815-4777
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. PAM WYNN
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Credential |
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Telephone | 205-815-4810
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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 | 00006973
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License Number State | AL
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