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General NPI Number Information
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NPI Number | 1356540728
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Entity Type | Organization
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Legal Business Name | EXPRESSCLINIC, INC
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 07/16/2007
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Provider Practice Location Address
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Address Line | 717 PRATT AVE NE
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City | HUNTSVILLE
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State | AL
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Zip | 35801-3645
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Country | US
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Telephone | 256-426-0802
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Fax |
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Provider Business Mailing Address
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Address Line | 8045 HIGHWAY 72 W SUITE 200
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City | MADISON
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State | AL
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Zip | 35758-9564
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Country | US
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Telephone | 256-426-0802
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. CASWALL C HARRIGAN SR.
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Credential | M.D.
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Telephone | 256-426-0802
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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 |
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License Number State |
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