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General NPI Number Information
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NPI Number | 1154134310
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Entity Type | Organization
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Legal Business Name | TENNESSEE VALLEY HEALTHCARE CLINIC
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 600 WOODWARD AVE
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City | MUSCLE SHOALS
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State | AL
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Zip | 35661-1546
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Country | US
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Telephone | 256-412-9260
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Fax |
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Provider Business Mailing Address
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Address Line | 126 ASHBEY CIR
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City | MUSCLE SHOALS
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State | AL
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Zip | 35661-5612
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Country | US
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Telephone | 256-412-9260
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | ELIZABETH BOATWRIGHT DOBBS
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Credential | FNP-C
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Telephone | 256-412-9260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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