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General NPI Number Information
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NPI Number | 1194514166
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Entity Type | Organization
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Legal Business Name | FAITHPOINT WELLNESS CLINIC
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 9195 HIGHWAY 57
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City | COUNCE
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State | TN
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Zip | 38326-3751
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Country | US
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Telephone | 731-925-1778
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Fax | 731-438-3168
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Provider Business Mailing Address
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Address Line | 9195 HIGHWAY 57
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City | COUNCE
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State | TN
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Zip | 38326-3751
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Country | US
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Telephone | 731-925-1778
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Fax | 731-438-3168
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Authorized Official
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Title or Position | OWNER
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Name | AMY B MITCHELL
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Credential | NP
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Telephone | 731-925-1778
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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 |
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License Number State |
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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 |
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License Number State |
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