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General NPI Number Information
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NPI Number | 1720676828
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Entity Type | Individual
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Provider Name | ORLANDO GUILLERMO URIBE JR. CRNP
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Gender | Male
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Dates
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Enumeration Date | 01/05/2021
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 216 MARENGO ST STE A
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City | FLORENCE
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State | AL
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Zip | 35630-6034
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Country | US
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Telephone | 256-760-8289
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Fax | 256-760-8792
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Provider Business Mailing Address
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Address Line | 703 VOLUNTEER DR
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City | TUSCUMBIA
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State | AL
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Zip | 35674-3123
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Country | US
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Telephone | 256-627-7507
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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 | 1-070903
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License Number State | AL
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