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General NPI Number Information
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NPI Number | 1699233890
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Entity Type | Organization
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Legal Business Name | IN & OUT PEDICATRICS
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Dates
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Enumeration Date | 03/06/2019
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 1995 PEPPERELL PKWY STE 6
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City | OPELIKA
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State | AL
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Zip | 36801-5460
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Country | US
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Telephone | 334-275-7658
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Fax |
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Provider Business Mailing Address
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Address Line | 2135 INTERSTATE DR STE 197
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City | OPELIKA
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State | AL
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Zip | 36801-1526
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Country | US
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Telephone | 334-275-7658
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Fax | 531-200-7534
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Authorized Official
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Title or Position | NP
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Name | FELICIA HEARD
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Credential | NP
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Telephone | 334-275-7658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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