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General NPI Number Information
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NPI Number | 1841216389
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Entity Type | Organization
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Legal Business Name | BIRMINGHAM HEMATOLOGY ONCOLOGY ASSOC LLC
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 2022 MEDICAL CENTER DR STE 628
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City | BIRMINGHAM
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State | AL
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Zip | 35209-6889
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Country | US
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Telephone | 205-870-4783
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Fax | 205-879-7043
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Provider Business Mailing Address
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Address Line | 500 OFFICE PARK DRIVE SUITE 400
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City | BIRMINGHAM
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State | AL
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Zip | 35223
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Country | US
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Telephone | 205-803-4330
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Fax | 205-803-4354
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRIAN KEITH ADLER
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Credential | MD
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Telephone | 205-803-4330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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