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General NPI Number Information
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NPI Number | 1194691865
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Entity Type | Individual
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Provider Name | TONYA M NICHOLS
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Gender | Female
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 155 SHERWAY RD STE 2
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City | KNOXVILLE
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State | TN
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Zip | 37922-2224
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Country | US
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Telephone | 865-333-4554
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Fax | 865-298-8150
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Provider Business Mailing Address
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Address Line | 6926 WASHINGTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37918-7128
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Country | US
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Telephone | 865-333-4554
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Fax | 865-298-8150
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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