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General NPI Number Information
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NPI Number | 1285227231
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Entity Type | Individual
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Provider Name | BETHANY TEILHET FNP
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Gender | Female
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Dates
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Enumeration Date | 02/19/2021
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Last Update Date | 06/21/2022
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Provider Practice Location Address
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Address Line | 1021 W OAKLAND AVE
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2191
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Country | US
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Telephone | 423-952-8000
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Fax | 423-915-5109
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Provider Business Mailing Address
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Address Line | 701 MED TECH PKWY STE 401
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2372
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Country | US
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Telephone | 423-631-0646
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Fax | 423-631-0674
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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 | APN0000027214
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License Number State | TN
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