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General NPI Number Information
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NPI Number | 1275418964
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Entity Type | Individual
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Provider Name | CLARICE DOBBS APRN
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Gender |
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 1516 E REELFOOT AVE
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City | UNION CITY
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State | TN
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Zip | 38261-5850
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Country | US
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Telephone | 731-886-8662
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Fax |
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Provider Business Mailing Address
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Address Line | 740 RYAN RD
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City | MARTIN
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State | TN
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Zip | 38237-5359
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Country | US
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Telephone | 731-225-7668
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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 | 39987
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 213090
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License Number State | TN
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