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General NPI Number Information
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NPI Number | 1265228159
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Entity Type | Individual
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Provider Name | MARY ALICE SPAULDING NP
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Gender | Female
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 200 S CROSS BRIDGES RD
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City | MT PLEASANT
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State | TN
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Zip | 38474-1714
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Country | US
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Telephone | 931-379-5821
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Fax | 931-379-5867
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Provider Business Mailing Address
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Address Line | 201 W HARDIN DR
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City | COLUMBIA
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State | TN
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Zip | 38401-2044
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Country | US
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Telephone | 615-975-5788
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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 | 37786
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License Number State | TN
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