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General NPI Number Information
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NPI Number | 1558536474
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Entity Type | Organization
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Legal Business Name | JEFFERY GARRARD, M.D., P.C.
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 4205 BALMORAL DR SW STE 200
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City | HUNTSVILLE
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State | AL
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Zip | 35801-7421
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Country | US
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Telephone | 256-382-7767
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Fax | 256-880-5262
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Provider Business Mailing Address
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Address Line | 4205 BALMORAL DR SW STE 200
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City | HUNTSVILLE
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State | AL
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Zip | 35801-7421
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Country | US
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Telephone | 256-382-7767
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Fax | 256-880-5262
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFERY GARRARD
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Credential | MD
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Telephone | 256-382-7767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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