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General NPI Number Information
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NPI Number | 1689700965
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Entity Type | Organization
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Legal Business Name | BILLUE AND HOLLEY PC
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 09/20/2010
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Provider Practice Location Address
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Address Line | 55 ROWE DRIVE SUITE A
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City | GUNTERSVILLE
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State | AL
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Zip | 35976
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Country | US
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Telephone | 256-571-8550
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Fax | 256-571-8553
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Provider Business Mailing Address
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Address Line | 55 ROWE DRIVE SUITE A
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City | GUNTERSVILLE
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State | AL
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Zip | 35976
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Country | US
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Telephone | 256-571-8550
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Fax | 256-571-8753
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID CLAYTON BILLUE
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Credential | MD
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Telephone | 256-571-8550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 13710
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License Number State | AL
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