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Contact Information

RUSSELL DUALE, LPN
BLDG 301 ANDREWS AVE
LYSTER ARMY HEALTH CLININC
FORT RUCKER, AL36362
 Phone: 334-255-7746
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for RUSSELL DUALE · (Male)

NPI Number 1811393283
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 11/13/2014
Last updated 11/24/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 2-063888
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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