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General NPI Number Information
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NPI Number | 1720260078
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Entity Type | Individual
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Provider Name | MARLA DEAN FALLS CRNP
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Gender | Female
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Dates
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Enumeration Date | 11/28/2007
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Last Update Date | 11/28/2007
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Provider Practice Location Address
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Address Line | 2750 HOSPITAL DR
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City | NORTHPORT
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State | AL
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Zip | 35476-3360
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Country | US
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Telephone | 205-339-3039
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Fax | 205-339-9908
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Provider Business Mailing Address
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Address Line | 2750 HOSPITAL DR
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City | NORTHPORT
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State | AL
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Zip | 35476-3360
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Country | US
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Telephone | 205-339-3039
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Fax | 205-339-9908
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 1-055320
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License Number State | AL
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