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General NPI Number Information
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NPI Number | 1861575144
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Entity Type | Organization
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Legal Business Name | THE CHILDREN'S HOSPTIAL OF ALABAMA
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 1940 ELMER J BISSELL RD
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City | BIRMINGHAM
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State | AL
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Zip | 35243-2941
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Country | US
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Telephone | 205-638-9100
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Fax | 205-638-9189
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Provider Business Mailing Address
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Address Line | PO BOX 114070536
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City | BIRMINGHAM
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State | AL
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Zip | 35246-0536
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Country | US
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Telephone | 205-638-5600
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Fax | 205-638-5623
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Authorized Official
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Title or Position | CFO
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Name | MRS. DAWN H WALTON
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Credential | CPA
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Telephone | 205-638-9901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 12129
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License Number State | AL
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