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General NPI Number Information
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NPI Number | 1538261607
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Entity Type | Individual
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Provider Name | JILL SABOL TIRPACK M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 04/15/2010
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Provider Practice Location Address
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Address Line | 2010 PATTON CHAPEL RD SUITE 103
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City | HOOVER
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State | AL
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Zip | 35216-5782
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Country | US
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Telephone | 205-822-0212
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Fax |
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Provider Business Mailing Address
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Address Line | 2153 RIVERCHASE OFFICE RD
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City | BIRMINGHAM
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State | AL
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Zip | 35244-1836
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Country | US
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Telephone | 205-986-0080
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Fax | 205-986-0081
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 00020629
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License Number State | AL
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