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General NPI Number Information
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NPI Number | 1275267163
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Entity Type | Individual
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Provider Name | JENNIE REBECCA ALSPACH CRNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/15/2022
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Last Update Date | 07/15/2022
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Provider Practice Location Address
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Address Line | 930 20TH ST S
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City | BIRMINGHAM
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State | AL
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Zip | 35205-2610
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Country | US
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Telephone | 996-015-3205
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Fax |
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Provider Business Mailing Address
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Address Line | 2084 NUNNALLY PASS
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City | HOOVER
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State | AL
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Zip | 35244-5075
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Country | US
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Telephone | 205-837-1059
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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 | 1-081655
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License Number State | AL
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