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General NPI Number Information
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NPI Number | 1740729656
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Entity Type | Individual
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Provider Name | MR. ROBERT SPENCER SAPPINGTON III
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Gender | Male
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 02/13/2017
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Provider Practice Location Address
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Address Line | 200 CAHABA PARK CIR SUITE 114
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City | BIRMINGHAM
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State | AL
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Zip | 35242-5002
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Country | US
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Telephone | 205-290-5353
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Fax | 205-449-2322
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Provider Business Mailing Address
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Address Line | 200 CAHABA PARK CIR SUITE 114
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City | BIRMINGHAM
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State | AL
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Zip | 35242-5002
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Country | US
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Telephone | 205-290-5353
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Fax | 205-449-2322
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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 | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 157
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License Number State | AL
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