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General NPI Number Information
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NPI Number | 1346043338
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Entity Type | Individual
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Provider Name | STACY ROBIN PEREZ FNP
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Gender | Female
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 103 PHYSICIANS WAY STE 120
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City | LEBANON
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State | TN
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Zip | 37090-4134
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Country | US
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Telephone | 615-453-5623
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Fax | 615-453-8592
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Provider Business Mailing Address
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Address Line | 1909 BRISBANE CT
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City | MOUNT JULIET
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State | TN
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Zip | 37122-8506
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Country | US
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Telephone | 615-823-0542
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 38506
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License Number State | TN
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