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General NPI Number Information
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NPI Number | 1053800425
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Entity Type | Individual
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Provider Name | ROSELYNE E MACHEN CRNP (NURSE PRACTION
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Gender | Female
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Dates
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Enumeration Date | 05/01/2018
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 365 THE BRIDGE ST STE 125
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City | HUNTSVILLE
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State | AL
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Zip | 35806-0027
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Country | US
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Telephone | 256-449-1750
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Fax | 256-854-8472
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Provider Business Mailing Address
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Address Line | 365 THE BRIDGE ST STE 125
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City | HUNTSVILLE
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State | AL
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Zip | 35806-0027
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Country | US
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Telephone | 256-449-1750
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Fax | 256-854-8472
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 24229
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-110679
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1-110679
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License Number State | AL
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