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General NPI Number Information
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NPI Number | 1689370694
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Entity Type | Individual
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Provider Name | OCTAVIA STRIBLING SCOTT NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 02/01/2023
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Last Update Date | 02/06/2023
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Provider Practice Location Address
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Address Line | 1189 ALLBRITTON RD
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City | WARRIOR
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State | AL
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Zip | 35180-2663
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Country | US
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Telephone | 205-946-4580
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Fax |
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Provider Business Mailing Address
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Address Line | 5496 WISTERIA TRCE
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City | TRUSSVILLE
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State | AL
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Zip | 35173-6316
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Country | US
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Telephone | 205-490-5228
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1-144137
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License Number State | AL
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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 | 1-144137
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License Number State | AL
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