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General NPI Number Information
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NPI Number | 1750429668
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Entity Type | Organization
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Legal Business Name | PLASTIC SURGERY ASSOCIATES OF MONTOGMERY P.C.
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 04/04/2008
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Provider Practice Location Address
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Address Line | 6727 TAYLOR CT
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City | MONTGOMERY
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State | AL
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Zip | 36117-7708
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Country | US
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Telephone | 334-284-2800
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Fax | 334-551-1014
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Provider Business Mailing Address
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Address Line | 6727 TAYLOR CT
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City | MONTGOMERY
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State | AL
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Zip | 36117-7708
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Country | US
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Telephone | 334-284-2800
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Fax | 334-551-1014
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Authorized Official
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Title or Position | PERSONNEL MRG INSURANCE SPECIALIST
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Name | MRS. MARSHA D CHAMLIES
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Credential |
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Telephone | 334-284-2800
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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 |
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License Number State |
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