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General NPI Number Information
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NPI Number | 1720753411
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Entity Type | Organization
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Legal Business Name | OXMOOR VALLEY ORTHODONTICS II LLC
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Dates
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Enumeration Date | 08/13/2021
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Last Update Date | 08/13/2021
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Provider Practice Location Address
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Address Line | 415 W OXMOOR RD
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City | BIRMINGHAM
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State | AL
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Zip | 35209-6320
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Country | US
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Telephone | 205-942-2270
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Fax |
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Provider Business Mailing Address
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Address Line | 224 RIDGE RD
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City | BIRMINGHAM
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State | AL
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Zip | 35209-4033
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Country | US
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Telephone | 205-337-5011
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. DEBORAH ANNETTE SEMA
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Credential | DMD, MS
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Telephone | 205-942-2270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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