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General NPI Number Information
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NPI Number | 1679907877
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Entity Type | Organization
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Legal Business Name | MD HEALTHCARE LLC
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Dates
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Enumeration Date | 08/25/2013
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Last Update Date | 06/15/2015
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Provider Practice Location Address
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Address Line | 307 MAIN ST SW
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City | HANCEVILLE
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State | AL
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Zip | 35077-5476
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Country | US
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Telephone | 256-887-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 307 MAIN ST SW
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City | HANCEVILLE
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State | AL
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Zip | 35077-5476
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Country | US
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Telephone | 256-887-1300
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Fax | 256-887-1303
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. BETH HORTON
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Credential |
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Telephone | 256-887-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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