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General NPI Number Information
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NPI Number | 1295152916
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Entity Type | Individual
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Provider Name | MINDY MAURINE THORP RNFA
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Gender | Female
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Dates
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Enumeration Date | 03/19/2014
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Last Update Date | 05/08/2019
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Provider Practice Location Address
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Address Line | 2000 GLEN ECHO ROAD SUITE 111
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City | NASHVILLE
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State | TN
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Zip | 37215
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Country | US
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Telephone | 615-657-4800
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Fax | 954-337-2733
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Provider Business Mailing Address
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Address Line | 920 FALLING WATER COURT
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City | NASHVILLE
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State | TN
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Zip | 37221
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Country | US
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Telephone | 434-386-7543
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Fax | 615-831-3713
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | RN0000196353
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License Number State | TN
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