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General NPI Number Information
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NPI Number | 1659157113
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Entity Type | Organization
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Legal Business Name | ALABAMA COLON & RECTAL INSTITUTE, P.C.
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Dates
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Enumeration Date | 08/31/2023
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 1317 4TH AVENUE SOUTH
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City | BIRMINGHAM
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State | AL
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Zip | 35233
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Country | US
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Telephone | 205-458-5000
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Fax | 844-692-0014
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Provider Business Mailing Address
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Address Line | 1317 4TH AVENUE SOUTH
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City | BIRMINGHAM
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State | AL
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Zip | 35233
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, PHYSICIAN
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Name | JON ROSSER
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Credential |
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Telephone | 205-458-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number |
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License Number State |
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