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General NPI Number Information
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NPI Number | 1861630246
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Entity Type | Individual
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Provider Name | MARILYN NICOLE ALLEMAN CRNA
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Gender | Female
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Dates
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Enumeration Date | 01/23/2009
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 101 SIVLEY RD SW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4421
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Country | US
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Telephone | 256-265-8426
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Fax |
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Provider Business Mailing Address
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Address Line | 500 WESTOVER DR # 13510
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City | SANFORD
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State | NC
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Zip | 27330-8941
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Country | US
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Telephone | 256-483-9427
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 081404
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License Number State | AL
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