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General NPI Number Information
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NPI Number | 1831133586
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Entity Type | Organization
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Legal Business Name | ORTHOPAEDIC SPECIALISTS OF ALABAMA PC
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 11/03/2010
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Provider Practice Location Address
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Address Line | 48 MEDICAL PARK EAST DR STE 255
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City | BIRMINGHAM
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State | AL
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Zip | 35235
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Country | US
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Telephone | 205-838-3090
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Fax | 205-838-6783
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Provider Business Mailing Address
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Address Line | 48 MEDICAL PARK EAST DR STE 255
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City | BIRMINGHAM
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State | AL
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Zip | 35235
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Country | US
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Telephone | 205-838-3090
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Fax | 205-838-6783
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Authorized Official
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Title or Position | CEO
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Name | KENNETH CASEY SORRELL
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Credential |
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Telephone | 205-838-3090
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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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