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General NPI Number Information
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NPI Number | 1548449325
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Entity Type | Organization
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Legal Business Name | GAYLON R ROGERS MD PC
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 985 9TH AVE SW SUITE 306 POB
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City | BESSEMER
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State | AL
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Zip | 35022-4500
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Country | US
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Telephone | 205-481-7795
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Fax | 205-481-7794
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Provider Business Mailing Address
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Address Line | 2018 BROOKWOOD MEDICAL CTR DR PROFESSIONAL OFFICE BUILDING, SUITE 315
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City | BIRMINGHAM
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State | AL
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Zip | 35209-6898
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Country | US
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Telephone | 205-877-2747
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Fax | 205-877-2526
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. CYNTHIA R LIVINGSTON
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Credential |
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Telephone | 205-877-2747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD#6106
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License Number State | AL
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