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General NPI Number Information
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NPI Number | 1659472983
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Entity Type | Organization
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Legal Business Name | SURGICAL ASSOCIATES OF GADSDEN PC
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 01/13/2017
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Provider Practice Location Address
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Address Line | 900 GOODYEAR AVE SUITE B
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City | GADSDEN
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State | AL
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Zip | 35903-1108
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Country | US
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Telephone | 256-492-0020
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Fax | 256-492-0029
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Provider Business Mailing Address
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Address Line | 900 GOODYEAR AVE SUITE B
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City | GADSDEN
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State | AL
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Zip | 35903-1108
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Country | US
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Telephone | 256-492-0020
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Fax | 256-492-0029
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Authorized Official
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Title or Position | OWNER/GEN SURGEON MEDICAL DOCTOR
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Name | DR. ALBERTO ECHEVERRI
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Credential | MD
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Telephone | 256-492-0020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 8001055
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License Number State | AL
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