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General NPI Number Information
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NPI Number | 1215958210
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Entity Type | Individual
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Provider Name | LILLIAN DAWN CAMP-SORRELL CRNP
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Gender | Female
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 04/18/2012
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Provider Practice Location Address
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Address Line | 1600 7TH AVE, SO SUITE 512
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City | BIRMINGHAM
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State | AL
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Zip | 35233-6979
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Country | US
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Telephone | 205-939-9285
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Fax | 205-975-1941
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Provider Business Mailing Address
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Address Line | 1600 7TH AVE, SOUTH
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City | BIRMINGHAM
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State | AL
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Zip | 35233-6979
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Country | US
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Telephone | 205-939-9285
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Fax | 205-975-1941
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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 | 1-040448
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License Number State | AL
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