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General NPI Number Information
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NPI Number | 1972929271
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Entity Type | Individual
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Provider Name | CATHY O INGRAM RN, MSN, CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/11/2014
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 1200 11TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35294-0001
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Country | US
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Telephone | 205-930-7124
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Fax |
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Provider Business Mailing Address
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Address Line | 2686 PADEN PL
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City | VESTAVIA
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State | AL
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Zip | 35226-2845
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Country | US
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Telephone | 205-822-5020
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1-043786
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 01-043786
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License Number State | AL
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