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General NPI Number Information
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NPI Number | 1720028293
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Entity Type | Individual
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Provider Name | ANITA KING NP
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Gender | Female
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 1628 N MCKENZIE ST SUITE 102
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City | FOLEY
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State | AL
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Zip | 36535-2248
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Country | US
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Telephone | 251-947-1083
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Fax |
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Provider Business Mailing Address
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Address Line | 18570 FORT MORGAN ROAD
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City | GULF SHORES
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State | AL
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Zip | 36542-4116
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Country | US
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Telephone | 251-968-8520
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-066087
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License Number State | AL
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