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General NPI Number Information
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NPI Number | 1780659615
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Entity Type | Individual
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Provider Name | GREGORY W UMPHREY M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 11/23/2022
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Provider Practice Location Address
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Address Line | 619 19TH ST S
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City | BIRMINGHAM
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State | AL
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Zip | 35249-4527
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Country | US
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Telephone | 205-934-4011
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 55310
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City | BIRMINGHAM
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State | AL
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Zip | 35255-5310
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Country | US
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Telephone | 205-731-9701
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 01056321A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD0000042126
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD28018
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 28018
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License Number State | AL
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