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General NPI Number Information
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NPI Number | 1063896314
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Entity Type | Organization
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Legal Business Name | CASWALL C HARRIGAN PHYSICIAN PC
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Dates
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Enumeration Date | 07/16/2015
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Last Update Date | 07/16/2015
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Provider Practice Location Address
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Address Line | MADISON MEDICAL PLAZA 540 HUGHES ROAD SUITE 14
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City | MADISON
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State | AL
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Zip | 35758
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Country | US
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Telephone | 256-426-0802
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Fax |
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Provider Business Mailing Address
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Address Line | MADISON MEDICAL PLAZA 540 HUGHES ROAD SUITE 14
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City | MADISON
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State | AL
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Zip | 35758
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Country | US
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Telephone | 256-426-0802
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CASWALL C HARRIGAN
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Credential | MD
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Telephone | 256-426-0802
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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 | AL
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