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General NPI Number Information
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NPI Number | 1629110895
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Entity Type | Individual
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Provider Name | JOCELYN A ALLYN FNPC
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Gender | Female
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 09/21/2015
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Provider Practice Location Address
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Address Line | 1023 MEDICAL CENTER PKWY SUITE 310
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City | SELMA
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State | AL
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Zip | 36701-6780
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Country | US
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Telephone | 334-418-6656
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Fax | 334-418-6657
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Provider Business Mailing Address
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Address Line | PO BOX 1206
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City | SELMA
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State | AL
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Zip | 36702-1206
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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 | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | 2003027280
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License Number State | MO
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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 | 2003027280
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License Number State | MO
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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 | 1-149809
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License Number State | AL
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