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General NPI Number Information
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NPI Number | 1003948100
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Entity Type | Individual
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Provider Name | TATIANA D. DORAN FNP
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 103 WILLOW ST STE B
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City | NASHVILLE
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State | IN
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Zip | 47448-7605
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Country | US
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Telephone | 812-988-2223
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Fax | 812-988-3933
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Provider Business Mailing Address
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Address Line | 1638 JACKSON BRANCH RIDGE RD
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City | NASHVILLE
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State | IN
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Zip | 47448-8897
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71001280A
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License Number State | IN
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