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General NPI Number Information
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NPI Number | 1275228207
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Entity Type | Individual
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Provider Name | JENNIFER H COATES APRN-FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/06/2023
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Last Update Date | 04/06/2023
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Provider Practice Location Address
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Address Line | 1140 HIGHWAY 100
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City | CENTERVILLE
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State | TN
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Zip | 37033-1139
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Country | US
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Telephone | 931-729-5551
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Fax |
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Provider Business Mailing Address
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Address Line | 3701 PINEY RD
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City | NUNNELLY
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State | TN
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Zip | 37137-2769
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 200794
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 33299
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License Number State | TN
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