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General NPI Number Information
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NPI Number | 1912680455
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Entity Type | Individual
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Provider Name | HALEY NICHOLE BICE CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/10/2023
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 107 HEALTH CENTER DR
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City | CLANTON
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State | AL
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Zip | 35045-2344
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Country | US
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Telephone | 205-810-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 1531 COUNTY ROAD 2
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City | MONTEVALLO
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State | AL
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Zip | 35115-9521
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Country | US
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Telephone | 205-789-0773
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-147147
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License Number State | AL
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