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General NPI Number Information
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NPI Number | 1073172805
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Entity Type | Individual
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Provider Name | CONSTANCE DYAS CALLEN CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/05/2019
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1747 OGLETREE RD STE B
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City | AUBURN
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State | AL
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Zip | 36830-6648
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Country | US
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Telephone | 334-787-9300
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Fax | 334-787-9306
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Provider Business Mailing Address
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Address Line | 1747 OGLETREE RD STE B
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City | AUBURN
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State | AL
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Zip | 36830-6648
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Country | US
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Telephone | 334-787-9300
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Fax | 334-787-9306
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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 | 1-137962
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1-137962
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License Number State | AL
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