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General NPI Number Information
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NPI Number | 1396803680
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Entity Type | Organization
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Legal Business Name | CENTER FOR DIGESTIVE HEALTH
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 12/14/2009
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Provider Practice Location Address
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Address Line | 7738 MADSON BOULEVARD
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City | HUNTSVILLE
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State | AL
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Zip | 35806
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Country | US
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Telephone | 256-430-4427
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Fax | 256-430-4335
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Provider Business Mailing Address
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Address Line | 420 LOWELL DRIVE SE SUITE 103
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City | HUNTSVILLE
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State | AL
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Zip | 35801
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Country | US
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Telephone | 256-535-5940
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Fax | 256-535-5954
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL P DOHRENWEND
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Credential | MD
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Telephone | 256-430-4427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 16209
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License Number State | AL
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