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General NPI Number Information
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NPI Number | 1194464966
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Entity Type | Individual
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Provider Name | BETHANY ROBINSON DNP, PMHNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 100 1ST AVE SW STE 202E
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City | WINCHESTER
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State | TN
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Zip | 37398-1754
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Country | US
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Telephone | 256-929-6188
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Fax | 256-918-3555
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Provider Business Mailing Address
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Address Line | 4945 MINGO RD
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City | BELVIDERE
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State | TN
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Zip | 37306-2617
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Country | US
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Telephone | 256-708-3032
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 221840
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License Number State | TN
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