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General NPI Number Information
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NPI Number | 1952008633
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Entity Type | Individual
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Provider Name | MOLLY COX CRNP
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Gender | Female
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 1369A GEORGE WALLACE HWY
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City | RUSSELLVILLE
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State | AL
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Zip | 35654-3281
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Country | US
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Telephone | 256-333-4118
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Fax | 256-333-4031
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Provider Business Mailing Address
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Address Line | 4006 HIGHWAY 43 S
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City | SAINT JOSEPH
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State | TN
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Zip | 38481-5109
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Country | US
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Telephone | 931-242-8400
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 33356
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3-001422
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License Number State | AL
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