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General NPI Number Information
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NPI Number | 1972558831
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Entity Type | Organization
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Legal Business Name | BROOKWOOD INTERNAL MEDICINE, P.C.
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 06/02/2010
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Provider Practice Location Address
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Address Line | 2017 CANYON ROAD SUITE # 39
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City | BIRMINGHAM
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State | AL
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Zip | 35216-1928
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Country | US
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Telephone | 205-871-7746
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Fax | 205-871-9234
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Provider Business Mailing Address
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Address Line | 2017 CANYON ROAD SUITE # 39
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City | BIRMINGHAM
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State | AL
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Zip | 35216-1928
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Country | US
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Telephone | 205-871-7746
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Fax | 205-871-9234
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. CATHERINE C CROW II
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Credential |
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Telephone | 205-871-7746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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