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General NPI Number Information
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NPI Number | 1083456651
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Entity Type | Individual
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Provider Name | KENDRA POLIZZO FNP
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Gender | Female
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Dates
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Enumeration Date | 06/12/2024
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 424 CHURCH ST STE 2600
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City | NASHVILLE
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State | TN
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Zip | 37219-2379
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Country | US
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Telephone | 877-564-3627
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 89
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City | LINDSAY
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State | TX
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Zip | 76250-0089
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Country | US
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Telephone | 940-736-3630
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1179187
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License Number State | TX
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