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General NPI Number Information
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NPI Number | 1336065838
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Entity Type | Individual
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Provider Name | CANDACE PRATER APRN
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Gender | Female
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 1025 MONTGOMERY HWY STE 200
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City | VESTAVIA HILLS
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State | AL
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Zip | 35216-2830
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Country | US
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Telephone | 205-825-4673
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Fax |
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Provider Business Mailing Address
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Address Line | 3505 BELLE MEADE LN
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City | MOUNTAIN BRK
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State | AL
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Zip | 35223-1503
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1-069684
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License Number State | AL
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