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General NPI Number Information
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NPI Number | 1205208329
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Entity Type | Individual
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Provider Name | EMILIE STAUFFER CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 10/28/2015
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Last Update Date | 07/15/2019
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Provider Practice Location Address
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Address Line | 5505 EDMONDSON PIKE STE 104
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City | NASHVILLE
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State | TN
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Zip | 37211-5869
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Country | US
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Telephone | 615-331-5898
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Fax | 615-331-5705
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Provider Business Mailing Address
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Address Line | 6640 CAROTHERS PKWY STE 230
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City | FRANKLIN
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State | TN
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Zip | 37067-6576
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Country | US
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Telephone | 615-550-4030
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Fax | 615-550-4035
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APN0000020589
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License Number State | TN
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