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General NPI Number Information
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NPI Number | 1457966699
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Entity Type | Individual
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Provider Name | ANNA REYNOLDS WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/14/2020
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Last Update Date | 09/14/2020
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Provider Practice Location Address
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Address Line | 3419 COLONNADE PKWY STE 600
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City | BIRMINGHAM
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State | AL
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Zip | 35243-3337
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Country | US
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Telephone | 256-276-0648
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Fax |
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Provider Business Mailing Address
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Address Line | 3958 JAMES HILL CIR
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City | HOOVER
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State | AL
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Zip | 35226-4703
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 104415333
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License Number State | AL
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