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General NPI Number Information
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NPI Number | 1245643204
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Entity Type | Organization
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Legal Business Name | MEREDITH FIGUEROA
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Dates
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Enumeration Date | 06/07/2014
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Last Update Date | 06/07/2014
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Provider Practice Location Address
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Address Line | 20 COPPER RIDGE CV
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City | JACKSON
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State | TN
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Zip | 38305-5725
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Country | US
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Telephone | 731-234-6811
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Fax |
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Provider Business Mailing Address
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Address Line | 20 COPPER RIDGE CV
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City | JACKSON
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State | TN
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Zip | 38305-5725
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Country | US
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Telephone | 731-234-6811
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Fax |
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Authorized Official
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Title or Position | FNP
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Name | MRS. MEREDITH MASSLER FIGUEROA
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Credential | FNP
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Telephone | 731-234-6811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | APN0000018674
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License Number State | TN
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