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NPI 1336112788

NPI 1336112788 : JAMES A HASSELL MD : MOBILE, AL

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General NPI Number Information
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    NPI Number           |    1336112788
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES A HASSELL MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/08/2006
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    Last Update Date     |    11/05/2018
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Provider Practice Location Address
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    Address Line         |    5621 COTTAGE HILL RD 
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    City                 |    MOBILE
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    State                |    AL
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    Zip                  |    36609-4210
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    Country              |    US
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    Telephone            |    251-666-2439
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    Fax                  |    251-666-3166
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Provider Business Mailing Address
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    Address Line         |    PO BOX 850489 
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    City                 |    MOBILE
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    State                |    AL
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    Zip                  |    36685-0489
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    Country              |    US
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    Telephone            |    251-342-3949
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    Fax                  |    251-631-3361
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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       |    13276
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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       |    MD.16116
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    License Number State |    AL
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