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General NPI Number Information
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NPI Number | 1992892897
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Entity Type | Individual
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Provider Name | ALAN DAN SMITH RN
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Gender | Male
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5300 57TH ST N
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City | BIRMINGHAM
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State | AL
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Zip | 35217-3328
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Country | US
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Telephone | 205-808-3377
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Fax | 205-808-3379
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Provider Business Mailing Address
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Address Line | 14871 HIGHWAY 140
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City | COKER
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State | AL
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Zip | 35452-3419
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Country | US
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Telephone | 205-339-1156
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-047643
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License Number State | AL
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