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General NPI Number Information
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NPI Number | 1326412032
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Entity Type | Individual
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Provider Name | PATRICIA LEIGH ROUNTREE CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/18/2015
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 802 N MAIN ST
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City | OPP
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State | AL
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Zip | 36467-1632
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Country | US
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Telephone | 334-493-3240
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Fax | 334-493-9535
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Provider Business Mailing Address
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Address Line | 511 BRANTLEY ST
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City | OPP
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State | AL
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Zip | 36467-1702
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Country | US
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Telephone | 334-493-3240
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Fax | 334-493-9535
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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 | 1-129647
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License Number State | AL
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