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General NPI Number Information
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NPI Number | 1912980749
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Entity Type | Individual
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Provider Name | THURSTON D NORRIS OPA-C
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Gender | Male
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Dates
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Enumeration Date | 11/25/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 52 MEDICAL PARK DR E SUITE 115
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3430
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Country | US
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Telephone | 205-838-3900
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Fax | 205-836-0422
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Provider Business Mailing Address
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Address Line | 221 25TH CT NW
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City | CENTER POINT
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State | AL
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Zip | 35215-2445
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Country | US
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Telephone | 205-854-0420
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Fax | 205-836-0422
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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