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General NPI Number Information
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NPI Number | 1699641332
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Entity Type | Individual
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Provider Name | WILLIAM JACKSON GURLEY CRNP
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Gender | Male
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 3000 RIVERCHASE GALLERIA STE 500
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City | HOOVER
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State | AL
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Zip | 35244-2365
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Country | US
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Telephone | 205-994-8811
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Fax | 205-994-8812
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Provider Business Mailing Address
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Address Line | PO BOX 830525 DEPT SF 123
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City | BIRMINGHAM
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State | AL
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Zip | 35283-0525
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1-171248
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License Number State | AL
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