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General NPI Number Information
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NPI Number | 1164952834
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Entity Type | Individual
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Provider Name | SHERRI ANN RICHARDSON CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 06/15/2017
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Provider Practice Location Address
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Address Line | 15225 HIGHWAY 43 STE B
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City | RUSSELLVILLE
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State | AL
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Zip | 35653-1969
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Country | US
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Telephone | 256-331-5828
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Fax | 256-801-6727
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Provider Business Mailing Address
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Address Line | 930 FRANKLIN ST SE
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4312
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Country | US
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Telephone | 256-801-6504
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Fax | 256-801-6727
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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 | 1-067097
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License Number State | AL
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