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General NPI Number Information
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NPI Number | 1730198169
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Entity Type | Individual
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Provider Name | MRS. PATRICIA M. SPRINGER-GROSS
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1403 8TH ST SE
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City | DECATUR
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State | AL
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Zip | 35601-3349
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Country | US
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Telephone | 256-351-9470
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Fax | 256-351-9472
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Provider Business Mailing Address
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Address Line | PO BOX 2086
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City | DECATUR
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State | AL
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Zip | 35602-2086
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Country | US
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Telephone | 256-351-9470
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Fax | 256-351-9472
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 15119
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License Number State | AL
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