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General NPI Number Information
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NPI Number | 1366756967
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Entity Type | Individual
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Provider Name | IVY N HARDEN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/06/2010
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | PO BOX 4000
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City | MOUNTAIN HOME
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State | TN
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Zip | 37684-4000
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Country | US
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Telephone | 865-573-0698
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Fax | 865-573-3174
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Provider Business Mailing Address
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Address Line | PO BOX 4000
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City | JOHNSON CITY
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State | TN
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Zip | 37602-4000
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Country | US
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Telephone | 800-355-3565
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Fax | 423-714-2355
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN106158
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 15095
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License Number State | TN
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