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General NPI Number Information
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NPI Number | 1669643789
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Entity Type | Organization
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Legal Business Name | CHELSEA PEDIATRICS, INC.
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 03/17/2008
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Provider Practice Location Address
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Address Line | 194 NARROWS DR SUITE 104
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City | BIRMINGHAM
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State | AL
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Zip | 35242-8667
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Country | US
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Telephone | 205-981-2728
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Fax | 205-981-2729
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Provider Business Mailing Address
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Address Line | 194 NARROWS DR SUITE 104
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City | BIRMINGHAM
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State | AL
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Zip | 35242-8667
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Country | US
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Telephone | 205-981-2728
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Fax | 205-981-2729
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALICE M HARDY
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Credential | M.D.
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Telephone | 205-981-2728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 25409
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License Number State | AL
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