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General NPI Number Information
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NPI Number | 1063666261
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Entity Type | Individual
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Provider Name | PHYLLISS LAMORA FLOWERS FNP
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Gender | Female
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Dates
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Enumeration Date | 11/14/2008
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 5511 VIRGINIA WAY STE 300
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City | BRENTWOOD
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State | TN
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Zip | 37027-7611
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Country | US
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Telephone | 615-994-1000
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Fax | 615-994-0100
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Provider Business Mailing Address
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Address Line | 5511 VIRGINIA WAY STE 300
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City | BRENTWOOD
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State | TN
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Zip | 37027-7611
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Country | US
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Telephone | 615-994-1000
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Fax | 615-994-0100
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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 | APN0000013464
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 515471
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11437
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License Number State | CT
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