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General NPI Number Information
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NPI Number | 1104296599
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Entity Type | Individual
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Provider Name | GWENDOLYN CALHOON FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/29/2015
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Last Update Date | 05/04/2017
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Provider Practice Location Address
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Address Line | 1300 HIGHWAY 231 S
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City | TROY
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State | AL
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Zip | 36081-3058
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Country | US
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Telephone | 334-566-7600
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Fax | 334-566-9181
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Provider Business Mailing Address
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Address Line | PO BOX 928
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City | TROY
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State | AL
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Zip | 36081-0928
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Country | US
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Telephone | 334-566-7600
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Fax | 334-566-9181
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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 | RN221321
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License Number State | GA
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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 | 1-129614
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License Number State | AL
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