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General NPI Number Information
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NPI Number | 1215016894
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Entity Type | Organization
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Legal Business Name | MCCRARY & ALLEY ENDODONTICS, LLC
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2410 L&N DRIVE SUITE B
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City | HUNTSVILLE
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State | AL
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Zip | 35801
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Country | US
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Telephone | 256-536-1116
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Fax |
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Provider Business Mailing Address
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Address Line | 2410 L&N DRIVE
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City | HUNTSVILLE
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State | AL
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Zip | 35801
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Country | US
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Telephone | 256-536-1116
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Fax |
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Authorized Official
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Title or Position | OFFICE
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Name | MS. NANCY LEIGH SMITH
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Credential |
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Telephone | 256-536-1116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 5291
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 4532
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License Number State | AL
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