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General NPI Number Information
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NPI Number | 1790875763
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Entity Type | Organization
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Legal Business Name | AMERICAN SPORTS MEDICINE INSTITUTE
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2660 10TH AVE S SUITE 505
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City | BIRMINGHAM
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State | AL
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Zip | 35205-1605
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Country | US
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Telephone | 205-918-0000
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Fax | 205-918-2177
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Provider Business Mailing Address
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Address Line | 2660 10TH AVE S SUITE 505
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City | BIRMINGHAM
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State | AL
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Zip | 35205-1605
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Country | US
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Telephone | 205-918-0000
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Fax | 205-918-2177
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Authorized Official
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Title or Position | DIRECTOR OF ADMINISTRATION
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Name | SUSAN MCWHORTER
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Credential | MLS
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Telephone | 205-918-2135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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