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General NPI Number Information
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NPI Number | 1144602574
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Entity Type | Organization
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Legal Business Name | HARROGATE HEALTH GROUP LLC
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Dates
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Enumeration Date | 06/22/2015
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 165 WESTMORELAND ST
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City | HARROGATE
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State | TN
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Zip | 37752-8202
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Country | US
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Telephone | 423-441-8011
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Fax | 423-441-8014
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Provider Business Mailing Address
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Address Line | 165 WESTMORELAND ST
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City | HARROGATE
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State | TN
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Zip | 37752-8202
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Country | US
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Telephone | 423-441-8011
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Fax | 423-441-8014
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | AMY JO BUSSELL
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Credential | ARNP
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Telephone | 423-441-8011
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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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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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