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General NPI Number Information
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NPI Number | 1720333446
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Entity Type | Individual
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Provider Name | PEGGY A GIBSON CRNP
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Gender | Female
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Dates
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Enumeration Date | 07/18/2012
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Last Update Date | 12/05/2016
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Provider Practice Location Address
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Address Line | 16 MEDICAL CENTER DRIVE
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City | MONROEVILLE
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State | AL
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Zip | 36460-3098
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Country | US
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Telephone | 251-575-3266
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Fax | 251-575-3262
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Provider Business Mailing Address
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Address Line | P.O. BOX 886 2016 SOUTH ALABAMA AVENUE
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City | MONROEVILLE
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State | AL
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Zip | 36461-3098
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Country | US
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Telephone | 251-575-3266
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Fax | 251-575-3262
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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 | 1-087612
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | LPSP.33-10533
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License Number State | AL
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