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General NPI Number Information
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NPI Number | 1205582681
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Entity Type | Individual
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Provider Name | DANIELA WILKINS APRN PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/24/2022
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 103 JEFFERSON ST STE 100
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City | CLARKSVILLE
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State | TN
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Zip | 37040-8681
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Country | US
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Telephone | 931-266-4999
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Fax |
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Provider Business Mailing Address
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Address Line | 324 CHALET CIR
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City | CLARKSVILLE
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State | TN
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Zip | 37040-1640
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Country | US
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Telephone | 931-220-8645
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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 | 30920
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License Number State | TN
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