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General NPI Number Information
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NPI Number | 1700150208
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Entity Type | Organization
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Legal Business Name | WOUNDSAVERS, PC
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Dates
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Enumeration Date | 03/01/2012
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Last Update Date | 03/01/2012
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Provider Practice Location Address
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Address Line | 535 JACK WARNER PKWY NE SUITE J-1
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City | TUSCALOOSA
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State | AL
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Zip | 35404-5751
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Country | US
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Telephone | 205-553-5111
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Fax | 205-553-5105
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Provider Business Mailing Address
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Address Line | 3336 BUCKHEAD DR
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City | VESTAVIA
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State | AL
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Zip | 35216-3880
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Country | US
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Telephone | 205-223-0525
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Fax | 205-823-8054
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ADAM ROSS NORTICK
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Credential | MD
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Telephone | 205-223-0525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 16195
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License Number State | AL
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