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General NPI Number Information
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NPI Number | 1700673928
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Entity Type | Individual
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Provider Name | SHYMYIA QUINNSHA MEADE CRNP
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Gender | Female
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 1404 E AVALON AVE STE A
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City | TUSCUMBIA
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State | AL
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Zip | 35674-1771
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Country | US
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Telephone | 256-381-5507
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Fax |
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Provider Business Mailing Address
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Address Line | 2271 COUNTY ROAD 268
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City | TOWN CREEK
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State | AL
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Zip | 35672-3107
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Country | US
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Telephone | 256-273-2015
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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 | F02250274
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License Number State | AL
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