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General NPI Number Information
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NPI Number | 1992970685
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Entity Type | Organization
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Legal Business Name | ALABAMA NASAL AND SINUS CENTER
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Dates
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Enumeration Date | 04/24/2008
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Last Update Date | 02/21/2012
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Provider Practice Location Address
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Address Line | 7191 CAHABA VALLEY RD SUITE 301
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City | BIRMINGHAM
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State | AL
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Zip | 35242-6402
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Country | US
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Telephone | 205-980-2091
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Fax | 205-980-2196
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Provider Business Mailing Address
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Address Line | 7191 CAHABA VALLEY RD SUITE 301
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City | BIRMINGHAM
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State | AL
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Zip | 35242-6402
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Country | US
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Telephone | 205-980-2091
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Fax | 205-980-2196
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Authorized Official
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Title or Position | OWNER/DIRECTOR/PHYSICIAN
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Name | DR. MICHAEL J SILLERS
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Credential | MD
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Telephone | 205-980-2091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 14772
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License Number State | AL
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