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General NPI Number Information
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NPI Number | 1821065285
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Entity Type | Organization
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Legal Business Name | SURGICAL ASSOCIATES. P.C.
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Dates
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Enumeration Date | 03/03/2006
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 513 BROOKWOOD BLVD BPM 501
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City | BIRMINGHAM
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State | AL
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Zip | 35209-6862
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Country | US
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Telephone | 205-930-8010
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Fax | 205-930-8014
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Provider Business Mailing Address
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Address Line | 513 BROOKWOOD BLVD BMP 501
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City | BIRMINGHAM
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State | AL
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Zip | 35209-6862
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Country | US
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Telephone | 205-930-8010
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Fax | 205-930-8014
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | MR. JOHN D HOOTON
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Credential |
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Telephone | 205-930-8010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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