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General NPI Number Information
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NPI Number | 1427241546
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Entity Type | Organization
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Legal Business Name | SCOTTSBORO QUICK CARE CLINICS,INC
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1603 S BROAD ST
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City | SCOTTSBORO
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State | AL
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Zip | 35768-2662
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Country | US
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Telephone | 256-259-3778
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Fax | 256-259-3759
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Provider Business Mailing Address
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Address Line | 1603 S BROAD ST
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City | SCOTTSBORO
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State | AL
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Zip | 35768-2662
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Country | US
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Telephone | 256-259-3778
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Fax | 256-259-3759
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Authorized Official
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Title or Position | MD
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Name | DR. YOUNUS M ISMAIL
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Credential |
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Telephone | 256-259-3778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 22123
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License Number State | AL
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