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General NPI Number Information
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NPI Number | 1558205211
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Entity Type | Organization
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Legal Business Name | SOUTHERN VASCULAR ASSOCIATES LLC
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 1551 OLD SHELL RD
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City | MOBILE
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State | AL
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Zip | 36604-1354
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Country | US
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Telephone | 251-379-5318
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Fax | 251-379-5318
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Provider Business Mailing Address
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Address Line | 1551 OLD SHELL RD
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City | MOBILE
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State | AL
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Zip | 36604-1354
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Country | US
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Telephone | 251-379-5318
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Fax | 251-379-5318
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JULIE SMITH
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Credential |
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Telephone | 251-379-5318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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