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General NPI Number Information
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NPI Number | 1750008801
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Entity Type | Organization
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Legal Business Name | CHEROKEE FAMILY HEALTHCARE, LLC
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Dates
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Enumeration Date | 10/19/2022
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 819 W MAIN ST
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City | CENTRE
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State | AL
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Zip | 35960-1235
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Country | US
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Telephone | 256-630-5467
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 610
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City | CENTRE
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State | AL
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Zip | 35960-0610
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Country | US
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Telephone | 256-630-5467
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CONNIE L GEIMER
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Credential | CRNP
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Telephone | 256-630-5467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | 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 | 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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