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General NPI Number Information
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NPI Number | 1891173639
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Entity Type | Individual
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Provider Name | MRS. ANNETTE REID
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Gender | Female
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Dates
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Enumeration Date | 05/13/2015
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Last Update Date | 05/13/2015
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Provider Practice Location Address
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Address Line | 2900 SPRING HILL AVE
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City | MOBILE
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State | AL
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Zip | 36607-1822
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Country | US
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Telephone | 251-287-8420
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Fax |
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Provider Business Mailing Address
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Address Line | 2850 ESAU AVE
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City | MOBILE
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State | AL
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Zip | 36617-1656
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Country | US
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Telephone | 251-457-3737
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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 | 374T00000X
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Taxonomy Name | Religious Nonmedical Nursing Personnel
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License Number | 2-032599
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License Number State | AL
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