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General NPI Number Information
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NPI Number | 1801072673
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Entity Type | Organization
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Legal Business Name | R REX PAYNE M D P C
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Dates
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Enumeration Date | 01/11/2008
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | 48 MEDICAL PARK DR E SUITE 458
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3400
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Country | US
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Telephone | 205-838-1811
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Fax | 205-835-5958
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Provider Business Mailing Address
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Address Line | 48 MEDICAL PARK DR E SUITE 458
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3400
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Country | US
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Telephone | 205-838-1811
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Fax | 205-835-5958
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT REX PAYNE
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Credential | M.D.
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Telephone | 205-838-1811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | MD.6700
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License Number State | AL
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