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General NPI Number Information
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NPI Number | 1649368739
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Entity Type | Organization
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Legal Business Name | THORACIC AND CARDIO.SURGEONS,PC
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 880 MONTCLAIR RD SUITE 380
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City | BIRMINGHAM
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State | AL
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Zip | 35213-1972
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Country | US
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Telephone | 205-599-2525
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Fax |
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Provider Business Mailing Address
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Address Line | 880 MONTCLAIR RD SUITE 380
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City | BIRMINGHAM
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State | AL
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Zip | 35213-1972
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Country | US
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Telephone | 205-599-2525
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD GITTER
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Credential | MD
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Telephone | 205-599-2525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 00022637
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License Number State | AL
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