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General NPI Number Information
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NPI Number | 1245825249
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Entity Type | Individual
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Provider Name | ANGELIA DOTSON FNP
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Gender | Female
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 1015 KELLEY DR STE 200
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City | PARIS
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State | TN
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Zip | 38242-5820
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Country | US
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Telephone | 731-644-8226
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Fax | 731-644-8227
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Provider Business Mailing Address
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Address Line | 205 HOSPITAL DR STE A
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City | MC KENZIE
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State | TN
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Zip | 38201-1649
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Country | US
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Telephone | 731-352-7907
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 28193
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License Number State | TN
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