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General NPI Number Information
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NPI Number | 1700365756
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Entity Type | Organization
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Legal Business Name | SCOTTSBORO FAMILY PHYSICIANS PC
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Dates
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Enumeration Date | 08/10/2018
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 42950 US HIGHWAY 72 STE 301
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City | STEVENSON
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State | AL
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Zip | 35772-5459
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Country | US
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Telephone | 256-548-3104
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Fax | 256-548-3106
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Provider Business Mailing Address
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Address Line | 1302 S BROAD ST
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City | SCOTTSBORO
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State | AL
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Zip | 35768-2605
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Country | US
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Telephone | 256-218-4080
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Fax | 256-218-3147
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER COOKE WHITE
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Credential | MD
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Telephone | 256-218-4080
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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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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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