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General NPI Number Information
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NPI Number | 1245860923
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Entity Type | Individual
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Provider Name | ANGELA PLUNKETT RN, BSN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 01/22/2020
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Last Update Date | 01/22/2020
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Provider Practice Location Address
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Address Line | 1709 LONE JACK LN
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City | MURFREESBORO
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State | TN
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Zip | 37129-3850
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Country | US
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Telephone | 901-568-9202
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Fax |
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Provider Business Mailing Address
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Address Line | 1709 LONE JACK LN
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City | MURFREESBORO
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State | TN
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Zip | 37129-3850
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Country | US
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Telephone | 901-568-9202
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 176112
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License Number State | TN
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