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General NPI Number Information
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NPI Number | 1629557533
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Entity Type | Individual
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Provider Name | MRS. MELINDA MCMORRIS
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Gender | Female
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Dates
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Enumeration Date | 08/10/2018
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 944 18TH ST S
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City | BIRMINGHAM
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State | AL
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Zip | 35205
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Country | US
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Telephone | 205-870-4343
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Fax | 205-870-0299
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Provider Business Mailing Address
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Address Line | 1562 E BAYONNE DR
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City | BIRMINGHAM
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State | AL
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Zip | 35214-3202
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Country | US
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Telephone | 205-796-0709
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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 | F03180315
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License Number State | AL
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