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General NPI Number Information
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NPI Number | 1215016050
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Entity Type | Individual
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Provider Name | HELEN MYERS CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 213 S CEDAR AVE
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City | DEMOPOLIS
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State | AL
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Zip | 36732-2229
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Country | US
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Telephone | 334-289-7303
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2213
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City | SELMA
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State | AL
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Zip | 36702-2213
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Country | US
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Telephone | 334-289-7303
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1067573
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License Number State | AL
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