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General NPI Number Information
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NPI Number | 1902287295
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Entity Type | Individual
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Provider Name | CHRISTY DARLINE MYRICK CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/12/2015
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 1635 HIGHWAY 31 NW
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City | HARTSELLE
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State | AL
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Zip | 35640-4481
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Country | US
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Telephone | 256-735-5900
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Fax | 256-417-4719
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Provider Business Mailing Address
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Address Line | PO BOX 2895
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City | CULLMAN
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State | AL
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Zip | 35056-2895
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Country | US
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Telephone | 256-735-5071
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Fax | 256-801-7626
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 1-105765
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number | 1-105765
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1-105765
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1-105765
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License Number State | AL
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