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General NPI Number Information
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NPI Number | 1518764521
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Entity Type | Organization
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Legal Business Name | ADVANCED HEALTHCARE LLC
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 3520 US HIGHWAY 431 STE 200
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City | ALBERTVILLE
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State | AL
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Zip | 35950-0081
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Country | US
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Telephone | 256-660-1265
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Fax |
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Provider Business Mailing Address
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Address Line | 415 COLLIER ST
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City | BOAZ
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State | AL
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Zip | 35957-3131
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Country | US
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Telephone | 623-910-2458
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KERSTIN A MCELVAIN
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Credential | NP
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Telephone | 623-910-2458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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