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General NPI Number Information
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NPI Number | 1275547374
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Entity Type | Individual
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Provider Name | STACY PERKINS MCLALLEN NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | NP CARE OF TN, LLC 2 INTERNATIONAL PLAZA SUITE 602
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City | NASHVILLE
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State | TN
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Zip | 37217-2017
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Country | US
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Telephone | 615-366-1264
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Fax | 615-361-8932
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Provider Business Mailing Address
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Address Line | 1103 BILTMORE DR
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City | NASHVILLE
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State | TN
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Zip | 37204-4123
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN0000006155
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License Number State | TN
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