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General NPI Number Information
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NPI Number | 1164930939
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Entity Type | Individual
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Provider Name | BRANDI NAIL HUBBARD CRNP, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/16/2018
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Last Update Date | 01/16/2018
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Provider Practice Location Address
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Address Line | 5004 AL-69
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City | NORTHPORT
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State | AL
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Zip | 35473
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Country | US
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Telephone | 205-331-4690
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Fax |
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Provider Business Mailing Address
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Address Line | 20298 WOODVILLE RD
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City | MC CALLA
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State | AL
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Zip | 35111-1896
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Country | US
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Telephone | 205-565-4686
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO441
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License Number State | AL
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