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General NPI Number Information
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NPI Number | 1487360830
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Entity Type | Individual
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Provider Name | CHLOE CREEL CRNP
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Gender | Female
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Dates
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Enumeration Date | 01/30/2023
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 2112 6TH AVE SE
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City | DECATUR
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State | AL
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Zip | 35601-6510
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Country | US
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Telephone | 256-274-5640
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Fax | 256-274-5642
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Provider Business Mailing Address
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Address Line | 100 RIVER BRIDGE WAY
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City | HUNTSVILLE
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State | AL
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Zip | 35811-9757
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 1-170222
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License Number State | AL
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