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General NPI Number Information
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NPI Number | 1194682302
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Entity Type | Individual
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Provider Name | JOSIE ADDISON CRNP
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Gender | Female
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 615 MYNATT ST SW STE A
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City | HARTSELLE
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State | AL
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Zip | 35640-2878
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Country | US
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Telephone | 256-773-2979
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Fax |
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Provider Business Mailing Address
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Address Line | 27 ROBIN CT
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City | HARTSELLE
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State | AL
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Zip | 35640-8563
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Country | US
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Telephone | 256-612-7852
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-176712
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License Number State | AL
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