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General NPI Number Information
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NPI Number | 1700838638
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Entity Type | Individual
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Provider Name | ALICIA KRISTEN KRICHEV M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 03/27/2012
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Provider Practice Location Address
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Address Line | 5540 HIGHWAY 431 S
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City | BROWNSBORO
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State | AL
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Zip | 35741-9771
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Country | US
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Telephone | 256-533-3003
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Fax | 256-533-3013
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Provider Business Mailing Address
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Address Line | 2004 WILLIS ROAD
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City | HUNTSVILLE
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State | AL
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Zip | 35801
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Country | US
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Telephone | 256-337-2164
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25500
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License Number State | AL
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