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General NPI Number Information
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NPI Number | 1154729481
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Entity Type | Individual
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Provider Name | KRISTIN LEA PHILLIPS APN
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Gender | Female
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Dates
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Enumeration Date | 12/19/2014
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Last Update Date | 04/22/2015
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Provider Practice Location Address
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Address Line | 4230 HARDING PIKE SUITE 330
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City | NASHVILLE
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State | TN
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Zip | 37205-2013
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Country | US
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Telephone | 615-269-4545
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Fax | 615-565-6748
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Provider Business Mailing Address
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Address Line | 501 GREAT CIRCLE RD SUITE 200
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City | NASHVILLE
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State | TN
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Zip | 37228-1317
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Country | US
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Telephone | 615-269-4545
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Fax | 615-565-6748
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 17113
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License Number State | TN
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