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General NPI Number Information
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NPI Number | 1942820782
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Entity Type | Individual
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Provider Name | MICHAEL CONRAD LANDERS DO
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Gender | Male
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Dates
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Enumeration Date | 04/22/2020
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 5000 MEDICAL WEST WAY
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City | BESSEMER
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State | AL
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Zip | 35022-7082
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Country | US
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Telephone | 205-481-8525
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 CYPRESS LN
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City | HOOVER
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State | AL
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Zip | 35244-8249
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Country | US
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Telephone | 205-971-4205
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Fax |
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2693
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DO.2693
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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