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General NPI Number Information
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NPI Number | 1578296299
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Entity Type | Individual
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Provider Name | ABBEY LAYNE DONZE
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Gender | Female
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Dates
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Enumeration Date | 07/09/2022
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Last Update Date | 04/18/2023
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Provider Practice Location Address
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Address Line | 619 19TH ST S
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City | BIRMINGHAM
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State | AL
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Zip | 35249-7253
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Country | US
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Telephone | 205-934-4011
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Fax |
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Provider Business Mailing Address
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Address Line | 4280 ASHWOOD CV
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City | VESTAVIA HILLS
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State | AL
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Zip | 35216-7253
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Country | US
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Telephone | 205-305-9155
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2091
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License Number State | AL
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