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General NPI Number Information
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NPI Number | 1558528356
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Entity Type | Organization
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Legal Business Name | ADVANCED INTERNAL MEDICINE PC
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 2008 STONEGATE TRL STE 100
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City | VESTAVIA HLS
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State | AL
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Zip | 35242-2267
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Country | US
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Telephone | 205-595-0395
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Fax | 205-599-9024
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Provider Business Mailing Address
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Address Line | P O BOX 430125
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City | BIRMINGHAM
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State | AL
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Zip | 35243
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Country | US
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Telephone | 205-595-0395
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Fax | 205-599-9024
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHARON BROM CHANEY
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Credential | MD
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Telephone | 205-595-0395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 00023549
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License Number State | AL
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