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General NPI Number Information
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NPI Number | 1023609377
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Entity Type | Individual
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Provider Name | BROOKE TOLIVER
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Gender | Female
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Dates
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Enumeration Date | 01/29/2021
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 5113 SAINT IVES DR
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City | MURFREESBORO
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State | TN
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Zip | 37128-4588
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Country | US
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Telephone | 270-987-0157
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Fax |
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Provider Business Mailing Address
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Address Line | 5113 SAINT IVES DR
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City | MURFREESBORO
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State | TN
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Zip | 37128-4588
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Country | US
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Telephone | 270-987-0157
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN.CNP.0034365
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License Number State | OH
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