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General NPI Number Information
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NPI Number | 1053135269
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Entity Type | Individual
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Provider Name | KATHRYN VAN SCYOC
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Gender | Female
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 01/12/2025
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Provider Practice Location Address
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Address Line | 2200 CHILDRENS WAY
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City | NASHVILLE
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State | TN
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Zip | 37232-0005
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Country | US
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Telephone | 615-936-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 818 19TH AVE S APT 1129
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City | NASHVILLE
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State | TN
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Zip | 37203-3795
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 266024
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License Number State | TN
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