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General NPI Number Information
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NPI Number | 1255599916
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Entity Type | Individual
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Provider Name | DENNIS CORRY
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Gender | Male
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 693 COUNTY ROAD 1343
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City | VINEMONT
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State | AL
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Zip | 35179-6191
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Country | US
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Telephone | 256-739-2051
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Fax | 256-775-1317
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Provider Business Mailing Address
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Address Line | PO BOX 305
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City | VINEMONT
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State | AL
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Zip | 35179-0305
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Country | US
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Telephone | 256-739-2051
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Fax | 256-775-1317
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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 | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number | 237199
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License Number State | AL
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