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General NPI Number Information
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NPI Number | 1710536958
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Entity Type | Individual
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Provider Name | HEATHER NICOLE FORD CRNP
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Gender | Female
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Dates
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Enumeration Date | 09/10/2019
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Last Update Date | 08/10/2025
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Provider Practice Location Address
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Address Line | 3690 GRANDVIEW PKWY
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City | BIRMINGHAM
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State | AL
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Zip | 35243-3326
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Country | US
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Telephone | 205-971-7500
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Fax | 205-971-7571
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Provider Business Mailing Address
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Address Line | 407 MUSGROVE DR
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City | WARRIOR
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State | AL
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Zip | 35180-1548
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Country | US
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Telephone | 630-776-8744
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Fax | 205-971-7571
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1-152938
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License Number State | AL
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