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General NPI Number Information
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NPI Number | 1174919294
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Entity Type | Individual
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Provider Name | MRS. MARGARET HURNS I
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Gender | Female
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Dates
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Enumeration Date | 04/15/2015
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Last Update Date | 04/15/2015
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Provider Practice Location Address
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Address Line | 24375 US HWY 80 W
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City | DEMOPOLIS
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State | AL
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Zip | 36732-0392
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Country | US
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Telephone | 334-298-1942
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 392
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City | DEMOPOLIS
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State | AL
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Zip | 36732-0392
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Country | US
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Telephone | 205-292-4701
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 28852
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License Number State | AL
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