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Contract Details
Facility name
Augmentation, Inc.
Provider ID
P000002003
NPI
1992075683
Tax ID
520851012
Effective Date
2/15/2010
Last Updated
8/22/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_070
AM_070
Location Details
Address
3415 Independence Drive Suite 101
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058701675
(
Phone
)
Billing Details
Address
3415 Independence Drive
Suite 101
Birmingham, AL 35209
Billing Phone
2058701675
Specialty Type
Home Health
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