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General NPI Number Information
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NPI Number | 1356732630
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Entity Type | Organization
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Legal Business Name | MARK SCOFIELD MD
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Dates
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Enumeration Date | 02/09/2015
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Last Update Date | 02/09/2015
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Provider Practice Location Address
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Address Line | 1004 1ST ST N 150
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City | ALABASTER
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State | AL
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Zip | 35007-8766
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Country | US
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Telephone | 205-621-0122
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Fax | 205-683-2468
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Provider Business Mailing Address
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Address Line | 1004 1ST ST N 150
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City | ALABASTER
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State | AL
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Zip | 35007-8766
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Country | US
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Telephone | 205-621-0122
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Fax | 205-683-2468
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Authorized Official
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Title or Position | MANAGER
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Name | JILDA STEPHENSON
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Credential |
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Telephone | 205-965-2397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 12767
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License Number State | AL
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