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General NPI Number Information
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NPI Number | 1407566383
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Entity Type | Organization
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Legal Business Name | SHOALS FAMILY CLINIC
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Dates
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Enumeration Date | 12/01/2022
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 2415B AVALON AVE
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City | MUSCLE SHOALS
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State | AL
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Zip | 35661-3163
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Country | US
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Telephone | 256-678-8892
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Fax | 256-383-6234
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Provider Business Mailing Address
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Address Line | 3554 WOODMONT DR
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City | TUSCUMBIA
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State | AL
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Zip | 35674-5898
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Country | US
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Telephone | 256-627-2852
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Fax |
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Authorized Official
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Title or Position | CRNP
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Name | COURTNEY HOOD
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Credential |
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Telephone | 256-627-2852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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