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General NPI Number Information
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NPI Number | 1720348865
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Entity Type | Individual
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Provider Name | YOLANDA DENISE HOWARD CRNP
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Gender | Female
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Dates
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Enumeration Date | 05/23/2012
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Last Update Date | 04/10/2013
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Provider Practice Location Address
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Address Line | 1013 MEDICAL CENTER PKWY
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City | SELMA
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State | AL
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Zip | 36701-6742
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Country | US
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Telephone | 334-875-2266
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Fax |
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Provider Business Mailing Address
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Address Line | 108 ANNA DR
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City | SELMA
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State | AL
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Zip | 36701-6860
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Country | US
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Telephone | 334-407-9823
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Fax | 334-874-5696
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1-097912
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License Number State | AL
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