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General NPI Number Information
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NPI Number | 1225175706
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Entity Type | Individual
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Provider Name | DANETTA EMILY MCCURLEY CRNP
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 08/20/2018
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Provider Practice Location Address
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Address Line | 1502 5TH AVE SOUTH
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City | BIRMINGHAM
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State | AL
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Zip | 35233
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Country | US
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Telephone | 256-623-5242
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Fax | 256-623-5243
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Provider Business Mailing Address
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Address Line | 2269 NEW HOME RD
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City | BOAZ
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State | AL
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Zip | 35956-7159
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Country | US
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Telephone | 256-630-2504
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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 | 1099271
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License Number State | AL
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