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General NPI Number Information
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NPI Number | 1275755688
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Entity Type | Individual
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Provider Name | RICHARD PAYNE DODD M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 12/20/2022
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Provider Practice Location Address
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Address Line | 1701 MAIN AVE SW STE A
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City | CULLMAN
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State | AL
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Zip | 35055-5385
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Country | US
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Telephone | 256-737-0880
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Fax | 256-737-9191
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Provider Business Mailing Address
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Address Line | 1701 MAIN AVE SW STE A
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City | CULLMAN
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State | AL
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Zip | 35055-5385
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Country | US
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Telephone | 256-737-0880
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Fax | 256-737-9191
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L-2791
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 28382
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License Number State | AL
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