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NPI 1467325076

NPI 1467325076 : MEDICAL CENTERS SURGICAL CLINIC HH HEALTH SYSTEM MARSHALL : BOAZ, AL

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General NPI Number Information
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    NPI Number           |    1467325076
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    Entity Type          |    Organization 
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    Legal Business Name  |    MEDICAL CENTERS SURGICAL CLINIC HH HEALTH SYSTEM MARSHALL 
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Dates
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    Enumeration Date     |    09/29/2025
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    Last Update Date     |    12/18/2025
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Provider Practice Location Address
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    Address Line         |    2525 US HIGHWAY 431 STE 100 
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    City                 |    BOAZ
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    State                |    AL
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    Zip                  |    35957-5967
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    Country              |    US
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    Telephone            |    256-840-4878
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    227 BRITTANY RD 
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    City                 |    GUNTERSVILLE
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    State                |    AL
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    Zip                  |    35976-5766
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    Country              |    US
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    Telephone            |    256-840-4878
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     CHRISTOPHER  RUSH 
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    Credential           |    
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    Telephone            |    256-593-8310
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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 |    
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