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General NPI Number Information
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NPI Number | 1033604947
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Entity Type | Organization
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Legal Business Name | RUTHERFORD COUNTY BOARD OF EDUCATION
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Dates
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Enumeration Date | 06/25/2018
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Last Update Date | 11/23/2019
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Provider Practice Location Address
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Address Line | 2240 SOUTHPARK DR
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City | MURFREESBORO
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State | TN
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Zip | 37128-5507
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Country | US
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Telephone | 615-893-5815
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8114
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City | CHATTANOOGA
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State | TN
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Zip | 37414-0114
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Country | US
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Telephone | 423-622-1551
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SARAH WINTERS
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Credential |
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Telephone | 423-622-1551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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