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General NPI Number Information
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NPI Number | 1639130537
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Entity Type | Organization
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Legal Business Name | AMBULATORY ANESTHESIA ASSOCIATES OF MONTGOMERY, PC
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Dates
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Enumeration Date | 03/30/2006
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Last Update Date | 06/27/2019
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Provider Practice Location Address
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Address Line | 470 TAYLOR RD
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City | MONTGOMERY
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State | AL
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Zip | 36117-3563
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Country | US
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Telephone | 334-284-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 2151 OLD ROCKY RIDGE RD STE 106
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City | VESTAVIA HILLS
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State | AL
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Zip | 35216-7251
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Country | US
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Telephone | 205-989-1091
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Fax | 205-989-1087
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | WILLIAM P. WARE III
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Credential | DO
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Telephone | 205-914-9822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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