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General NPI Number Information
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NPI Number | 1053470062
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Entity Type | Individual
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Provider Name | MARIBETH K FOLLMER APNP
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Gender | Female
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 5653 FRIST BLVD STE 236
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City | HERMITAGE
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State | TN
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Zip | 37076-2063
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Country | US
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Telephone | 615-232-8812
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Fax | 615-232-8815
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Provider Business Mailing Address
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Address Line | 920 S HARTMANN DR STE 110
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City | LEBANON
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State | TN
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Zip | 37090-4137
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Country | US
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Telephone | 615-994-4110
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Fax | 615-994-4113
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 13953
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License Number State | TN
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