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General NPI Number Information
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NPI Number | 1689807885
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Entity Type | Organization
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Legal Business Name | SVPS THREE, LLC
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Dates
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Enumeration Date | 09/03/2009
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | 810 SAINT VINCENTS DR
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City | BIRMINGHAM
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State | AL
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Zip | 35205-1601
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Country | US
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Telephone | 205-939-7413
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Fax | 205-930-2157
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Provider Business Mailing Address
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Address Line | 7191 CAHABA VALLEY PKWY. STE. 300
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City | BIRMINGHAM
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State | AL
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Zip | 35242
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Country | US
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Telephone | 205-995-9909
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN O'NEIL
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Credential |
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Telephone | 205-930-7413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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