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General NPI Number Information
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NPI Number | 1043871379
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Entity Type | Organization
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Legal Business Name | WENP, PLLC
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Dates
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Enumeration Date | 06/26/2019
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Last Update Date | 06/26/2019
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Provider Practice Location Address
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Address Line | 118 TAMBARK CIR
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City | MURFREESBORO
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State | TN
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Zip | 37128-6016
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Country | US
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Telephone | 615-573-8015
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Fax |
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Provider Business Mailing Address
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Address Line | 118 TAMBARK CIR
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City | MURFREESBORO
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State | TN
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Zip | 37128-6016
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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 | CEO/OWNER
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Name | GREGORY CAGLE
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Credential | APRN
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Telephone | 615-573-8015
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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 |
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License Number State |
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