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General NPI Number Information
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NPI Number | 1255357919
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Entity Type | Individual
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Provider Name | CATHY L MAINE F.N.P.
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 100 5TH ST STE 310
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City | BRISTOL
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State | TN
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Zip | 37620-5919
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Country | US
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Telephone | 865-588-3173
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Fax | 865-244-3579
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Provider Business Mailing Address
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Address Line | 100 5TH ST STE 310
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City | BRISTOL
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State | TN
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Zip | 37620-5919
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Country | US
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Telephone | 865-588-3173
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Fax | 865-244-3579
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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 | 22334
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License Number State | TN
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