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General NPI Number Information
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NPI Number | 1902911100
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Entity Type | Organization
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Legal Business Name | JOHN W SCARBOROUGH MD PC
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 401 WEST COLLEGE ST
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City | FLORENCE
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State | AL
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Zip | 35630
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Country | US
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Telephone | 256-760-9003
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Fax |
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Provider Business Mailing Address
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Address Line | 432 RIVERVIEW CIR
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City | FLORENCE
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State | AL
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Zip | 35630-6020
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN W SCARBOROUGH
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Credential | M.D.
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Telephone | 256-760-9003
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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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