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General NPI Number Information
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NPI Number | 1073085072
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Entity Type | Individual
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Provider Name | RICKY JEREMY CARWILE CRNP
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Gender | Male
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Dates
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Enumeration Date | 01/02/2019
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Last Update Date | 01/02/2019
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Provider Practice Location Address
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Address Line | 8375 HIGHWAY 72 W
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City | MADISON
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State | AL
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Zip | 35758-9573
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Country | US
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Telephone | 256-265-2012
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Fax |
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Provider Business Mailing Address
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Address Line | 506 WALKER RD SW
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City | HARTSELLE
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State | AL
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Zip | 35640-3960
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Country | US
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Telephone | 256-773-1511
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1-135527
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1-135527
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1-135527
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License Number State | AL
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