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General NPI Number Information
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NPI Number | 1083938781
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Entity Type | Individual
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Provider Name | TRACEY LEE PERKINS MSN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/24/2010
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Last Update Date | 03/24/2010
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Provider Practice Location Address
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Address Line | 1310 TWENTY FOURTH AVENUE NORTH
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City | NASHVILLE
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State | TN
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Zip | 37212
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Country | US
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Telephone | 615-873-7930
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Fax |
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Provider Business Mailing Address
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Address Line | 124 LORIEN CIR
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City | SHELBYVILLE
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State | TN
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Zip | 37160-7398
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Country | US
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Telephone | 615-631-6983
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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 | 14304
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License Number State | TN
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