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General NPI Number Information
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NPI Number | 1437963972
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Entity Type | Individual
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Provider Name | ALEXANDRIA NICHOLE SUMMERS CRNP
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Gender | Female
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 60 MAIN ST N
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City | SECTION
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State | AL
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Zip | 35771-7168
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Country | US
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Telephone | 256-228-3471
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Fax | 256-228-7289
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Provider Business Mailing Address
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Address Line | 309 TAYLOR ST
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City | SCOTTSBORO
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State | AL
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Zip | 35768-2421
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Country | US
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Telephone | 256-259-5313
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Fax | 256-259-4923
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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 | 1-165982
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License Number State | AL
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