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General NPI Number Information
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NPI Number | 1811651334
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Entity Type | Individual
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Provider Name | SANDRA KING FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/30/2021
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 4500 VALLEYDALE RD
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City | BIRMINGHAM
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State | AL
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Zip | 35242-4636
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Country | US
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Telephone | 205-409-2794
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Fax |
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Provider Business Mailing Address
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Address Line | 5137 HOLLOW LOG LN
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City | BIRMINGHAM
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State | AL
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Zip | 35244-1925
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Country | US
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Telephone | 205-370-7859
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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 | 1-143568
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License Number State | AL
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