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General NPI Number Information
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NPI Number | 1053920264
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Entity Type | Organization
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Legal Business Name | MMS LIFE, LLC
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Dates
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Enumeration Date | 07/24/2020
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 401 EVERGREEN AVE
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City | BREWTON
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State | AL
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Zip | 36426-2066
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Country | US
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Telephone | 251-286-8234
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Fax |
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Provider Business Mailing Address
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Address Line | 401 EVERGREEN AVE
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City | BREWTON
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State | AL
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Zip | 36426-2066
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Country | US
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Telephone | 251-286-8234
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/SOLE MEMBER
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Name | AARON MORGAN
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Credential | MD
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Telephone | 251-367-5333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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