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General NPI Number Information
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NPI Number | 1730228628
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Entity Type | Organization
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Legal Business Name | DERMATOLOGY PARTNERS OF ALABAMA INC
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 972 MONTCLAIR RD
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City | BIRMINGHAM
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State | AL
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Zip | 35213-1204
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Country | US
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Telephone | 205-592-4880
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Fax | 205-592-3999
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Provider Business Mailing Address
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Address Line | 972 MONTCLAIR RD
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City | BIRMINGHAM
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State | AL
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Zip | 35213-1204
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Country | US
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Telephone | 205-592-4880
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Fax | 205-592-3999
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Authorized Official
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Title or Position | PHYSICIAN/CEO
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Name | DR. BARRY C GINSBURG
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Credential | M.D.
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Telephone | 205-592-4880
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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 | 7430
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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