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General NPI Number Information
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NPI Number | 1154420255
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Entity Type | Individual
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Provider Name | ROBIN DIANNE YOUNG APN
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 11/12/2017
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Provider Practice Location Address
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Address Line | 3013 PALACE PL
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City | MURFREESBORO
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State | TN
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Zip | 37129-1186
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Country | US
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Telephone | 615-812-3425
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Fax |
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Provider Business Mailing Address
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Address Line | 3013 PALACE PLACE
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City | MURFREESBORO
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State | TN
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Zip | 37129
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Country | US
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Telephone | 615-812-3425
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APN0000006921
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN0000006921
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License Number State | TN
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