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General NPI Number Information
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NPI Number | 1306552054
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Entity Type | Individual
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Provider Name | ANNE BARRET RICHARDS MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/26/2023
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Last Update Date | 01/26/2023
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Provider Practice Location Address
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Address Line | 1501 BRAYTON AVE
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City | DYERSBURG
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State | TN
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Zip | 38024-3158
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Country | US
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Telephone | 731-285-4111
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Fax | 731-285-4221
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Provider Business Mailing Address
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Address Line | 1501 BRAYTON AVE
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City | DYERSBURG
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State | TN
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Zip | 38024-3158
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Country | US
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Telephone | 731-285-4111
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Fax | 731-285-4221
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 33278
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License Number State | TN
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