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General NPI Number Information
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NPI Number | 1598052219
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF ALABAMA AT BIRMINGHAM HOSPITAL
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Dates
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Enumeration Date | 07/01/2011
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Last Update Date | 07/01/2011
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Provider Practice Location Address
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Address Line | 510 20TH ST S # FOT1020
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City | BIRMINGHAM
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State | AL
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Zip | 35233-2028
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Country | US
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Telephone | 205-934-1436
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Fax | 205-975-7546
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Provider Business Mailing Address
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Address Line | 510 20TH ST S # FOT1020
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City | BIRMINGHAM
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State | AL
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Zip | 35233-2028
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Country | US
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Telephone | 205-934-1436
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Fax | 205-975-7546
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. KATHERINE LINEBERRY MANGE
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Credential | CRNP
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Telephone | 205-934-1436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 1-85113
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License Number State | AL
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