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General NPI Number Information
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NPI Number | 1033980529
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Entity Type | Individual
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Provider Name | ISABELLA GRACE REEVES PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/12/2024
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 909 HILLSBORO BLVD
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City | MANCHESTER
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State | TN
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Zip | 37355-2025
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Country | US
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Telephone | 931-723-1705
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Fax | 931-723-0861
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Provider Business Mailing Address
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Address Line | 616 MARRIOTT DR
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City | NASHVILLE
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State | TN
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Zip | 37214-5048
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Country | US
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Telephone | 931-247-3861
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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