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General NPI Number Information
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NPI Number | 1366085227
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Entity Type | Individual
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Provider Name | TAMARA NICOLE JONES LPN
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Gender | Female
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Dates
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Enumeration Date | 10/23/2019
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Last Update Date | 10/23/2019
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Provider Practice Location Address
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Address Line | 7180 NOLENSVILLE RD
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City | NOLENSVILLE
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State | TN
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Zip | 37135-2996
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Country | US
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Telephone | 615-819-2201
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Fax | 615-526-6494
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Provider Business Mailing Address
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Address Line | 7180 NOLENSVILLE RD
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City | NOLENSVILLE
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State | TN
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Zip | 37135-2996
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Country | US
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Telephone | 615-819-2201
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Fax | 615-526-6494
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LPN0000078586
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License Number State | TN
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