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General NPI Number Information
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NPI Number | 1558449991
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Entity Type | Organization
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Legal Business Name | ENT ASSOCIATES OF ALABAMA PA
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 03/09/2017
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Provider Practice Location Address
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Address Line | 1773 PLATT PL
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City | MONTGOMERY
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State | AL
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Zip | 36117-7762
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Country | US
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Telephone | 334-272-8644
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Fax | 334-284-9714
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Provider Business Mailing Address
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Address Line | 1773 PLATT PL
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City | MONTGOMERY
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State | AL
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Zip | 36117-7762
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Country | US
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Telephone | 334-272-8644
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Fax | 334-284-9714
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Authorized Official
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Title or Position | OTOLARYNGOLOGIST
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Name | ALAN CRAIG CHAPMAN
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Credential | MD
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Telephone | 334-272-8644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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