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General NPI Number Information
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NPI Number | 1467464784
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Entity Type | Individual
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Provider Name | NINA J STOWE CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 11/27/2018
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Provider Practice Location Address
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Address Line | 14001 HWY. 43, SUITE 24
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City | RUSSELLVILLE
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State | AL
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Zip | 35653-0221
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Country | US
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Telephone | 256-398-7212
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Fax | 256-398-7213
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Provider Business Mailing Address
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Address Line | 14001 HWY. 43, SUITE 24
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City | RUSSELLVILLE
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State | AL
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Zip | 35653-0221
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Country | US
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Telephone | 256-398-7212
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Fax | 256-398-7213
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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 | 1047048
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License Number State | AL
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