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General NPI Number Information
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NPI Number | 1053774711
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Entity Type | Individual
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Provider Name | EMILY BALLARD MCNEARNEY CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/31/2016
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Last Update Date | 03/31/2016
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Provider Practice Location Address
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Address Line | 619 19TH ST S WEST PAVILION W515
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City | BIRMINGHAM
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State | AL
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Zip | 35249-1900
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Country | US
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Telephone | 205-975-4728
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Fax |
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Provider Business Mailing Address
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Address Line | 2741 OXMOOR WAY
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City | BIRMINGHAM
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State | AL
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Zip | 35211-6437
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Country | US
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Telephone | 205-566-6919
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Fax |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1-102647
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License Number State | AL
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