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General NPI Number Information
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NPI Number | 1649538794
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Entity Type | Organization
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Legal Business Name | FAMILY & COMMUNITY MEDICINE ASSOCIATES LLC
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Dates
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Enumeration Date | 04/26/2012
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 825 W WASHINGTON ST STE 5
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City | EUFAULA
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State | AL
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Zip | 36027-1851
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Country | US
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Telephone | 334-687-0250
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Fax | 334-687-0299
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Provider Business Mailing Address
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Address Line | 825 W WASHINGTON ST STE 5
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City | EUFAULA
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State | AL
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Zip | 36027-1851
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Country | US
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Telephone | 334-687-0250
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Fax | 334-687-0299
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JESSE CORNELIUS HAGGERTY III
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Credential | MD PHD
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Telephone | 334-687-0250
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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 | 24003
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License Number State | AL
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