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General NPI Number Information
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NPI Number | 1720133630
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Entity Type | Organization
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Legal Business Name | ANITA EASON MD PC
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 44 HUGHES ROAD SUITE 2100
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City | MADISON
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State | AL
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Zip | 35758
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Country | US
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Telephone | 256-461-0100
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Fax | 256-461-0127
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Provider Business Mailing Address
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Address Line | 44 HUGHES ROAD SUITE 2100
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City | MADISON
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State | AL
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Zip | 35758
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Country | US
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Telephone | 256-461-0100
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Fax | 256-461-0127
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANITA F EASON
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Credential | MD
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Telephone | 256-461-0100
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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 | C8497
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 17724
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License Number State | AL
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