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General NPI Number Information
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NPI Number | 1811046998
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Entity Type | Organization
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Legal Business Name | ST VINCENTS PHYSICIAN SERVICES II LLC
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3000 RIVERCHASE GALLERIA STE 1700
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City | BIRMINGHAM
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State | AL
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Zip | 35244-2315
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Country | US
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Telephone | 205-989-4817
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Fax | 205-989-4379
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Provider Business Mailing Address
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Address Line | 3000 RIVERCHASE GALLERIA STE 1700
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City | BIRMINGHAM
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State | AL
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Zip | 35244-2315
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Country | US
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Telephone | 205-989-4817
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Fax | 205-989-4379
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Authorized Official
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Title or Position | OFFICER
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Name | ANN PURDY
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Credential |
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Telephone | 205-989-4817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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