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General NPI Number Information
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NPI Number | 1336445014
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Entity Type | Organization
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Legal Business Name | PATIENTS 1ST OF DOTHAN, LLC
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Dates
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Enumeration Date | 01/28/2011
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Last Update Date | 01/28/2011
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Provider Practice Location Address
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Address Line | 318 WESTGATE PKWY STE. 2
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City | DOTHAN
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State | AL
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Zip | 36303-2963
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Country | US
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Telephone | 334-699-7555
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Fax | 334-699-7560
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Provider Business Mailing Address
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Address Line | 318 WESTGATE PKWY STE. 2
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City | DOTHAN
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State | AL
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Zip | 36303-2963
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Country | US
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Telephone | 334-699-7555
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Fax | 334-699-7560
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. JOSEPH HARRISON SEWELL II
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Credential | M.D.
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Telephone | 334-699-7555
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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 | 1-069633
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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 | 1-089295
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20138
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License Number State | AL
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