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General NPI Number Information
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NPI Number | 1831691823
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Entity Type | Organization
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Legal Business Name | ALMA SURRATT PMHNP, CNS-BC
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Dates
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Enumeration Date | 03/06/2018
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Last Update Date | 05/31/2018
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Provider Practice Location Address
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Address Line | 32711 LONG NECK RD
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City | MILLSBORO
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State | DE
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Zip | 19966
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Country | US
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Telephone | 302-542-1710
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Fax |
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Provider Business Mailing Address
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Address Line | 32711 LONG NECK RD
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City | MILLSBORO
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State | DE
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Zip | 19966-6678
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Country | US
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Telephone | 302-542-1710
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ALMA SURRATT
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Credential | PMHNP, CNS-BC
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Telephone | 302-542-1710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | LE-0000172
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License Number State | DE
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