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General NPI Number Information
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NPI Number | 1093045742
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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 | 12/31/2009
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Last Update Date | 12/31/2009
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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 | 35976-7134
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Country | US
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Telephone | 256-571-8470
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Fax | 256-571-8474
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Provider Business Mailing 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 | 35976-7134
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Country | US
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Telephone | 256-571-8470
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Fax | 256-571-8474
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Authorized Official
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Title or Position | OWNER
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Name | DENISE J BRUNEAU
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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 |
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License Number State |
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