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General NPI Number Information
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NPI Number | 1740756675
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Entity Type | Individual
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Provider Name | VERNIE SLATON
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Gender | Female
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Dates
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Enumeration Date | 10/18/2018
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 617 GAULT AVE N
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City | FORT PAYNE
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State | AL
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Zip | 35967-2531
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Country | US
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Telephone | 256-979-1633
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Fax | 256-304-5456
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Provider Business Mailing Address
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Address Line | 2899 COUNTY ROAD 739
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City | HENAGAR
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State | AL
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Zip | 35978-3849
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Country | US
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Telephone | 256-605-4836
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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 | 24980
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-090087
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License Number State | AL
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