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General NPI Number Information
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NPI Number | 1750751301
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Entity Type | Organization
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Legal Business Name | SHERIDAN CHILDREN'S SERVICES OF ALABAMA, INC
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Dates
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Enumeration Date | 09/25/2015
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Last Update Date | 10/01/2015
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Provider Practice Location Address
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Address Line | 1108 ROSS CLARK CIR
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City | DOTHAN
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State | AL
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Zip | 36301-3022
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Country | US
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Telephone | 334-793-8111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 451417
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City | SUNRISE
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State | FL
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Zip | 33345-1417
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT COWARD
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Credential |
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Telephone | 954-838-2371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist 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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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