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General NPI Number Information
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NPI Number | 1316240450
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Entity Type | Organization
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Legal Business Name | F&B ENTERPRISES, LLC
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Dates
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Enumeration Date | 12/13/2010
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Last Update Date | 12/13/2010
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Provider Practice Location Address
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Address Line | 1611 MCARTHUR ST
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City | MANCHESTER
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State | TN
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Zip | 37355-2532
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Country | US
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Telephone | 931-728-9340
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Fax | 931-728-9343
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Provider Business Mailing Address
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Address Line | 1611 MCARTHUR ST
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City | MANCHESTER
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State | TN
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Zip | 37355-2532
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Country | US
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Telephone | 931-728-9340
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Fax | 931-728-9343
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Authorized Official
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Title or Position | CONSULTANT
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Name | MRS. CHRISTY L ANDERSON
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Credential |
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Telephone | 931-273-8764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 44100
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License Number State | TN
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