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General NPI Number Information
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NPI Number | 1821299173
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Entity Type | Individual
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Provider Name | TERRIE H PLATT CRNP
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Gender | Female
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 06/25/2014
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Provider Practice Location Address
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Address Line | 717 DOWNTOWNER LOOP W
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City | MOBILE
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State | AL
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Zip | 36609-5503
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Country | US
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Telephone | 252-544-7077
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Fax | 251-342-8999
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Provider Business Mailing Address
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Address Line | PO BOX 31
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City | CHATOM
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State | AL
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Zip | 36518-0031
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Country | US
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Telephone | 251-242-1422
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 1-122685
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License Number State | AL
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