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General NPI Number Information
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NPI Number | 1538913546
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Entity Type | Individual
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Provider Name | EVELYN NYCOLE MURDOCK FNP
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Gender | Female
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Dates
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Enumeration Date | 04/16/2024
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 5107 MOORES MILL RD
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City | HUNTSVILLE
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State | AL
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Zip | 35811-1007
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Country | US
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Telephone | 256-851-7190
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Fax | 256-851-7189
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Provider Business Mailing Address
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Address Line | 118 KINSLEE LEANN CT
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City | MERIDIANVILLE
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State | AL
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Zip | 35759-1730
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-169103
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License Number State | AL
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