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General NPI Number Information
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NPI Number | 1134781727
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Entity Type | Individual
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Provider Name | DANNILYN MARIE KRAFT FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/03/2019
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Last Update Date | 06/23/2022
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Provider Practice Location Address
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Address Line | 1115B DOW ST
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City | MURFREESBORO
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State | TN
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Zip | 37130-2487
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Country | US
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Telephone | 615-896-6996
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Fax | 615-896-6985
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Provider Business Mailing Address
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Address Line | 2020 EXETER RD
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City | GERMANTOWN
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State | TN
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Zip | 38138-3945
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Country | US
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Telephone | 901-747-3630
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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 | 26222
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License Number State | TN
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