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General NPI Number Information
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NPI Number | 1649528134
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Entity Type | Organization
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Legal Business Name | LLIVINA & HARRIGILL, M.D., P.C.
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Dates
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Enumeration Date | 08/15/2012
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Last Update Date | 08/15/2012
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Provider Practice Location Address
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Address Line | 48 MEDICAL PARK DR E SUITE 458
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3400
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Country | US
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Telephone | 205-838-1811
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Fax | 205-838-4252
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Provider Business Mailing Address
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Address Line | 48 MEDICAL PARK DR E SUITE 458
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3400
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Country | US
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Telephone | 205-838-1811
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Fax | 205-838-4252
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. KEITH MARTIN HARRIGILL
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Credential | MD
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Telephone | 205-838-1811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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