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General NPI Number Information
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NPI Number | 1295337665
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Entity Type | Organization
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Legal Business Name | INFINITY FAMILY HEALTH LLC
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Dates
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Enumeration Date | 11/11/2020
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Last Update Date | 05/13/2024
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Provider Practice Location Address
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Address Line | 231 NORTHGATE DR STE 218
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City | MCMINNVILLE
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State | TN
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Zip | 37110-1436
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Country | US
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Telephone | 931-668-2628
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Fax |
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Provider Business Mailing Address
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Address Line | 231 NORTHGATE DR STE 218
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City | MCMINNVILLE
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State | TN
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Zip | 37110-1436
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Country | US
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Telephone | 932-507-2021
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Fax | 932-507-2022
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Authorized Official
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Title or Position | NP
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Name | LESLIE R WHALEY
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Credential | FNP
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Telephone | 931-808-2218
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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 |
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License Number State |
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