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NPI 1992750863

NPI 1992750863 : M. MARGARET O'BRIEN MD : MOBILE, AL

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General NPI Number Information
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    NPI Number           |    1992750863
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    Entity Type          |    Individual 
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    Provider Name        |    M. MARGARET O'BRIEN MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/22/2006
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    Last Update Date     |    04/11/2008
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Provider Practice Location Address
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    Address Line         |    2451 FILLINGIM ST PATHOLOGY
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    City                 |    MOBILE
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    State                |    AL
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    Zip                  |    36617-2238
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    Country              |    US
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    Telephone            |    251-471-7790
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    Fax                  |    251-471-7715
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Provider Business Mailing Address
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    Address Line         |    PO BOX 40480 
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    City                 |    MOBILE
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    State                |    AL
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    Zip                  |    36640-0480
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    Country              |    US
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    Telephone            |    251-470-5842
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    Fax                  |    251-470-5809
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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        |    207ZP0102X
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    Taxonomy Name        |    Anatomic Pathology & Clinical Pathology Physician
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    License Number       |    18834
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    License Number State |    AL
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