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NPI Code Detail

MEDICARE: MS. CHARLOTTE JUANITA DUNLAP

MEDICARE: MS. CHARLOTTE JUANITA DUNLAP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SF0001XFamily Health Clinical Nurse Specialist1037640AL

General Provider Information

NPI Number : 1851713093
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHARLOTTE JUANITA DUNLAP
Provider Business Mailing Address
First Line : 1006 PASADENA AVE
Second Line :
City : MUSCLE SHOALS
State : AL
Zip : 35661-2446
Country : US
Telephone Number : 256-320-5117
Fax Number :
Provider Business Practice Location Address
First Line : 1600 BROWNS FERRY RD
Second Line :
City : MADISON
State : AL
Zip : 35758-9601
Country : US
Telephone Number : 256-461-5615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2014
Last Update Date : 01/07/2014

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