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General NPI Number Information
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NPI Number | 1578642179
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Entity Type | Organization
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Legal Business Name | BABIESETC OB/GYN PC
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 235 PORTAL LN STE A
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City | MADISON
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State | AL
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Zip | 35758-5813
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Country | US
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Telephone | 256-461-1766
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Fax |
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Provider Business Mailing Address
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Address Line | 235 PORTAL LN STE A
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City | MADISON
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State | AL
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Zip | 35758-5813
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Country | US
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Telephone | 256-461-1766
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Fax |
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Authorized Official
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Title or Position | ACCOUNTS SPECIALIST
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Name | MARIE SCOTT
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Credential |
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Telephone | 256-461-1766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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