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General NPI Number Information
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NPI Number | 1932369287
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Entity Type | Individual
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Provider Name | DARRELL P DOUCETTE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 10/07/2015
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Provider Practice Location Address
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Address Line | 250 CHATEAU DR SW SUITE 105
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City | HUNTSVILLE
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State | AL
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Zip | 35801-3497
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Country | US
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Telephone | 256-880-1977
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Fax | 256-880-6022
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Provider Business Mailing Address
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Address Line | 250 CHATEAU DR SW SUITE 105
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City | HUNTSVILLE
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State | AL
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Zip | 35801-6436
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Country | US
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Telephone | 256-880-1977
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Fax | 256-880-6022
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 33251
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License Number State | AL
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