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General NPI Number Information
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NPI Number | 1528107000
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Entity Type | Organization
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Legal Business Name | AZALEA CITY PHYSICIANS FOR WOMEN,PC
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 11/03/2011
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Provider Practice Location Address
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Address Line | 3715 DAUPHIN ST SUITE 2A
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City | MOBILE
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State | AL
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Zip | 36608-1771
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Country | US
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Telephone | 251-344-5265
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Fax | 251-344-5321
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Provider Business Mailing Address
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Address Line | 3715 DAUPHIN ST SUITE 2A
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City | MOBILE
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State | AL
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Zip | 36608-1771
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Country | US
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Telephone | 251-344-5265
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Fax | 251-344-5321
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Authorized Official
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Title or Position | PRACTICING PARTNER
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Name | GLENN TODD GALLASPY JR.
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Credential | MD
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Telephone | 251-344-5265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD.5725
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License Number State | AL
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