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General NPI Number Information
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NPI Number | 1275518870
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Entity Type | Individual
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Provider Name | CHAUNCEY HERRINGTON JR. MD
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Gender | Male
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Dates
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Enumeration Date | 12/07/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 809 UNIVERSITY BLVD E
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City | TUSCALOOSA
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State | AL
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Zip | 35401-2029
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Country | US
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Telephone | 205-759-7111
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Fax | 205-343-8549
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Provider Business Mailing Address
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Address Line | PO BOX 934370
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City | ATLANTA
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State | GA
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Zip | 31193-0001
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Country | US
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Telephone | 800-897-6169
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Fax | 800-897-6170
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 10482
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License Number State | AL
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