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General NPI Number Information
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NPI Number | 1689945016
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Entity Type | Organization
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Legal Business Name | GUY E BLAUDEAU MD PC
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Dates
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Enumeration Date | 01/17/2012
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Last Update Date | 01/17/2012
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Provider Practice Location Address
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Address Line | 995 9TH AVE SW SUITE 501
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City | BESSEMER
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State | AL
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Zip | 35022-4527
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Country | US
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Telephone | 205-481-7550
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Fax | 205-481-7599
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Provider Business Mailing Address
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Address Line | PO BOX 852
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City | BESSEMER
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State | AL
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Zip | 35021-0852
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Country | US
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Telephone | 205-481-7550
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Fax | 205-481-7599
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Authorized Official
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Title or Position | PRESIDENT
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Name | GUY E BLAUDEAU
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Credential | MD
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Telephone | 205-481-7550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 7503
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License Number State | AL
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