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General NPI Number Information
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NPI Number | 1841244886
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Entity Type | Organization
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Legal Business Name | VASCULAR ASSOCIATES OF BIRMINGHAM, PC
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 817 PRINCETON AVE SW SUITE 306
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City | BIRMINGHAM
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State | AL
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Zip | 35211-1333
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Country | US
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Telephone | 205-783-0160
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Fax | 205-788-6249
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Provider Business Mailing Address
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Address Line | 817 PRINCETON AVE SW SUITE 306
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City | BIRMINGHAM
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State | AL
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Zip | 35211-1333
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Country | US
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Telephone | 205-783-0160
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Fax | 205-788-6249
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | DR. ROBERT SCOTT MCCORD
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Credential | MD
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Telephone | 205-783-0160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 00013686
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 00021035
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 00023846
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | TA-1645
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License Number State | AL
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Taxonomy #5
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 00019081
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License Number State | AL
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