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General NPI Number Information
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NPI Number | 1801380167
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Entity Type | Organization
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Legal Business Name | TENNESSEE VALLEY TOTAL WOMEN'S CARE, INC.
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 08/02/2018
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Provider Practice Location Address
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Address Line | 910 ADAMS ST SE STE 210
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City | HUNTSVILLE
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State | AL
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Zip | 35801
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Country | US
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Telephone | 256-265-6512
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Fax | 256-265-6727
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Provider Business Mailing Address
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Address Line | 110 WILLIAMS AND BROAD DR
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City | BROWNSBORO
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State | AL
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Zip | 35741-9312
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Country | US
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Telephone | 256-265-6512
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Fax | 256-265-6727
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | SHARON L CALLISON
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Credential | MD
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Telephone | 256-265-6512
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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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