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General NPI Number Information
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NPI Number | 1861704934
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF ALABAMA AT BIRMINGHAM
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Dates
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Enumeration Date | 07/06/2010
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Last Update Date | 07/06/2010
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Provider Practice Location Address
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Address Line | 908 20TH ST S
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City | BIRMINGHAM
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State | AL
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Zip | 35205-2610
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Country | US
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Telephone | 205-934-1917
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 55309
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City | BIRMINGHAM
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State | AL
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Zip | 35255-5309
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Country | US
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Telephone | 205-731-9701
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Fax |
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Authorized Official
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Title or Position | EXEC VP OF UAHSF
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Name | REID F JONES
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Credential |
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Telephone | 205-731-9770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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