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General NPI Number Information
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NPI Number | 1023267929
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Entity Type | Organization
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Legal Business Name | MARSHALL MEDICAL CENTER NORTH
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Dates
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Enumeration Date | 09/16/2008
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Last Update Date | 09/16/2008
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Provider Practice Location Address
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Address Line | 7938 AL HIGHWAY 69 SUITE 350
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City | GUNTERSVILLE
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State | AL
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Zip | 35976-7119
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Country | US
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Telephone | 256-571-8470
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Fax |
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Provider Business Mailing Address
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Address Line | 7938 AL HIGHWAY 69 STUITE 350
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City | GUNTERSVILLE
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State | AL
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Zip | 35976-7119
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Country | US
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Telephone | 256-571-8470
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JASON MICHAEL HUNT
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Credential | MD
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Telephone | 256-571-8470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 29076
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License Number State | AL
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