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General NPI Number Information
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NPI Number | 1366156028
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Entity Type | Organization
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Legal Business Name | TN WOMENS HEALTH LLC
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Dates
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Enumeration Date | 01/09/2023
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 641 HIGHWAY 52 BYP W
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City | LAFAYETTE
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State | TN
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Zip | 37083-2685
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Country | US
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Telephone | 615-622-6631
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Fax | 877-550-1906
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Provider Business Mailing Address
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Address Line | 641 HIGHWAY 52 BYP W
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City | LAFAYETTE
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State | TN
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Zip | 37083-2685
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Country | US
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Telephone | 615-622-6631
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Fax | 877-550-1906
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | SHAYE FITZPATRICK
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Credential |
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Telephone | 615-655-2920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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