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General NPI Number Information
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NPI Number | 1386679215
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Entity Type | Individual
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Provider Name | WILLIAM MARK SCOFIELD MD
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 11/14/2017
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Provider Practice Location Address
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Address Line | 632 2ND ST NE
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City | ALABASTER
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State | AL
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Zip | 35007-8817
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Country | US
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Telephone | 205-621-0145
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Fax | 205-664-2420
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Provider Business Mailing Address
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Address Line | 632 2ND ST NE
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City | ALABASTER
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State | AL
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Zip | 35007-8817
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Country | US
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Telephone | 205-621-0145
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Fax | 205-664-2420
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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 | 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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