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General NPI Number Information
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NPI Number | 1740375732
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Entity Type | Organization
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Legal Business Name | HENAGAR FAMILY MEDICINE, L.L.C.
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 06/11/2014
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Provider Practice Location Address
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Address Line | 18324 ALABAMA HIGHWAY 75
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City | HENAGAR
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State | AL
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Zip | 35978
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Country | US
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Telephone | 256-657-1101
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Fax | 256-657-1115
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Provider Business Mailing Address
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Address Line | P.O. BOX 518
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City | HENAGAR
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State | AL
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Zip | 35978
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Country | US
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Telephone | 256-657-1101
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Fax | 256-657-1115
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTHONY SIMS
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Credential | M.D.
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Telephone | 256-657-1101
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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 |
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License Number State |
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