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General NPI Number Information
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NPI Number | 1295973014
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Entity Type | Individual
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Provider Name | MARTA MURPHY COGBURN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/02/2009
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Last Update Date | 06/22/2010
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Provider Practice Location Address
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Address Line | 434 4TH ST SUITE 310
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City | NEWPORT
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State | TN
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Zip | 37821-3746
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Country | US
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Telephone | 423-623-0640
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Fax | 423-623-7615
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Provider Business Mailing Address
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Address Line | 434 FOURTH ST SUITE 310
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City | NEWPORT
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State | TN
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Zip | 37821-3735
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Country | US
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Telephone | 423-623-0640
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Fax | 423-623-7615
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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 | APN0000005350
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License Number State | TN
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