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General NPI Number Information
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NPI Number | 1093432593
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Entity Type | Organization
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Legal Business Name | NAVIGATE GENETICS
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Dates
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Enumeration Date | 10/25/2022
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 1604 WESTGATE CIR STE 240
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City | BRENTWOOD
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State | TN
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Zip | 37027-8578
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Country | US
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Telephone | 615-652-1489
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1227
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City | SPRING HILL
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State | TN
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Zip | 37174-1227
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Country | US
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Telephone | 615-652-1489
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Fax | 800-414-2269
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | STACIE HOLLOWAY
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Credential | FNP-BC
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Telephone | 662-882-3722
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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 |
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License Number State |
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