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General NPI Number Information
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NPI Number | 1245571157
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Entity Type | Individual
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Provider Name | ALEISHA DUNAGAN NP
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Gender | Female
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Dates
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Enumeration Date | 03/04/2013
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Last Update Date | 03/04/2013
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Provider Practice Location Address
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Address Line | 6610 CURRY HWY
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City | JASPER
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State | AL
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Zip | 35503-5664
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Country | US
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Telephone | 205-295-2020
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Fax | 205-295-2099
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Provider Business Mailing Address
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Address Line | 1280 SUMMITT
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City | JASPER
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State | AL
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Zip | 35501-0102
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Country | US
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Telephone | 205-287-7555
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Fax | 205-384-9006
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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 | 1-109214
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License Number State | AL
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