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General NPI Number Information
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NPI Number | 1578683090
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Entity Type | Organization
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Legal Business Name | MARSHALL MEDICAL CENTER NORTH
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2307 HOMER CLAYTON DR
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City | GUNTERSVILLE
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State | AL
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Zip | 35976-2205
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Country | US
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Telephone | 256-571-8003
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Fax |
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Provider Business Mailing Address
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Address Line | 2307 HOMER CLAYTON DR
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City | GUNTERSVILLE
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State | AL
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Zip | 35976-2205
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Country | US
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Telephone | 256-571-8003
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MS. KATHY B. NELSON
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Credential | C.P.A.
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Telephone | 256-894-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | H4804
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License Number State | AL
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