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General NPI Number Information
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NPI Number | 1144898586
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Entity Type | Individual
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Provider Name | SURYA B UPRETI CRNP
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Gender | Male
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Dates
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Enumeration Date | 06/13/2021
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 2000 6TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-2110
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Country | US
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Telephone | 205-934-3338
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Fax | 205-934-2042
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Provider Business Mailing Address
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Address Line | 6132 KAREN DAVIE DR NW
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City | HUNTSVILLE
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State | AL
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Zip | 35806-1954
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Country | US
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Telephone | 256-698-4145
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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 | 1-169397
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1-167397
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License Number State | AL
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