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General NPI Number Information
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NPI Number | 1295435873
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Entity Type | Organization
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Legal Business Name | ENCOMPASS FAMILY PRACTICE LLC
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Dates
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Enumeration Date | 03/03/2023
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 315 GRADY RD
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City | ETOWAH
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State | TN
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Zip | 37331-1903
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Country | US
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Telephone | 423-887-7100
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Fax | 423-606-0122
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Provider Business Mailing Address
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Address Line | 315 GRADY RD
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City | ETOWAH
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State | TN
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Zip | 37331-1903
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Country | US
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Telephone | 423-887-7100
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER/OWNER
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Name | DEIDRE BROWN
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Credential | APRN
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Telephone | 423-887-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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