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General NPI Number Information
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NPI Number | 1699177709
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Entity Type | Individual
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Provider Name | ASHLEY HANNA CRNP
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Gender | Female
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Dates
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Enumeration Date | 09/19/2014
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Last Update Date | 09/14/2015
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Provider Practice Location Address
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Address Line | 1940 ELMER J BISSELL RD
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City | BIRMINGHAM
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State | AL
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Zip | 35243-2941
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Country | US
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Telephone | 205-638-4823
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Fax | 205-638-4994
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Provider Business Mailing Address
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Address Line | 3764 CROSSHAVEN DR
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City | VESTAVIA
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State | AL
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Zip | 35223-2833
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Country | US
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Telephone | 850-687-3822
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 1-131612
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License Number State | AL
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