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General NPI Number Information
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NPI Number | 1851047864
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Entity Type | Individual
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Provider Name | HEATHER LEE BRASHER CRNP
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Gender | Female
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Dates
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Enumeration Date | 02/28/2022
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 2000 PEPPERELL PKWY
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City | OPELIKA
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State | AL
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Zip | 36801-5452
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Country | US
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Telephone | 205-215-1008
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Fax |
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Provider Business Mailing Address
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Address Line | 155 BAGLEY DR
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City | TRUSSVILLE
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State | AL
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Zip | 35173-4279
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Country | US
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Telephone |
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 1-138447
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License Number State | AL
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