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General NPI Number Information
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NPI Number | 1699926279
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN DERMATOLOGY, P.C.
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Dates
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Enumeration Date | 10/01/2008
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Last Update Date | 09/12/2016
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Provider Practice Location Address
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Address Line | 46 MEDICAL PARK DR E SUITE 405
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3401
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Country | US
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Telephone | 205-836-1212
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Fax | 205-836-1313
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Provider Business Mailing Address
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Address Line | 46 MEDICAL PARK DR E SUITE 405
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3401
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Country | US
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Telephone | 205-836-1212
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Fax | 205-836-1313
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY NEAL MARTIN
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Credential | DO
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Telephone | 205-836-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | DO875
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License Number State | AL
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