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General NPI Number Information
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NPI Number | 1073516779
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Entity Type | Individual
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Provider Name | MARY CATHERINE DUNN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 02/25/2009
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Provider Practice Location Address
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Address Line | 2601 BRANSFORD AVE ELL OFFICE
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City | NASHVILLE
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State | TN
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Zip | 37204
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Country | US
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Telephone | 615-259-3282
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Fax | 615-214-8655
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Provider Business Mailing Address
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Address Line | 6319 WILDWOOD VALLEY DR
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City | BRENTWOOD
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State | TN
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Zip | 37027-4807
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Country | US
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Telephone | 615-483-0912
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP04457
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License Number State | LA
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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 | 6096
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License Number State | TN
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