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General NPI Number Information
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NPI Number | 1326632001
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Entity Type | Individual
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Provider Name | TARAN COLEMAN FNP-C
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Gender | Male
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Dates
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Enumeration Date | 02/23/2021
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 71 MEDICAL CENTER DR
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City | BROWNSVILLE
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State | TN
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Zip | 38012-2541
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Country | US
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Telephone | 731-661-9825
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Fax |
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Provider Business Mailing Address
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Address Line | 11019 KARIN DR
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City | MILAN
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State | TN
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Zip | 38358-5149
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Country | US
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Telephone | 731-694-3157
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 28987
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License Number State | TN
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