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General NPI Number Information
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NPI Number | 1902828155
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Entity Type | Individual
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Provider Name | AUDRY GORMAN CRNP
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Gender | Female
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 1515 6TH AVE S FL 7
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City | BIRMINGHAM
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State | AL
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Zip | 35233
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Country | US
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Telephone | 205-475-3908
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Fax |
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Provider Business Mailing Address
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Address Line | 6718 RIDGECREST CIR
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City | MC CALLA
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State | AL
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Zip | 35111-3960
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP60669163
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 12.014433
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1-054669
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License Number State | AL
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