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General NPI Number Information
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NPI Number | 1396852810
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Entity Type | Individual
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Provider Name | LURLINE CHANEY CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 25910 CANAL RD SUITE D
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City | ORANGE BEACH
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State | AL
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Zip | 36561
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Country | US
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Telephone | 251-974-2273
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Fax | 239-552-7690
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Provider Business Mailing Address
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Address Line | 156 E 15TH AVE
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City | GULF SHORES
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State | AL
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Zip | 36542-3516
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Country | US
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Telephone | 251-948-4290
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9364363
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License Number State | FL
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