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General NPI Number Information
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NPI Number | 1538461033
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Entity Type | Individual
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Provider Name | NINA RENEE HARVEY CRNP
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Gender | Female
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Dates
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Enumeration Date | 12/03/2010
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 1960 GADSDEN HWY STE 108
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City | BIRMINGHAM
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State | AL
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Zip | 35235-4201
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Country | US
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Telephone | 205-655-1016
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2648
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City | BIRMINGHAM
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State | AL
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Zip | 35202-2648
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Country | US
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Telephone | 205-930-1175
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Fax | 205-930-1189
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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 | 1124155
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 12384NP
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F1110115
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-109547
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License Number State | AL
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