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NPI 1376835223

NPI 1376835223 : ACCESS HEALTH CENTER PLLC : SELMER, TN

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General NPI Number Information
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    NPI Number           |    1376835223
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    Entity Type          |    Organization 
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    Legal Business Name  |    ACCESS HEALTH CENTER PLLC 
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Dates
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    Enumeration Date     |    05/11/2011
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    Last Update Date     |    05/11/2011
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Provider Practice Location Address
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    Address Line         |    150 S Y SQ 
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    City                 |    SELMER
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    State                |    TN
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    Zip                  |    38375-1755
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    Country              |    US
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    Telephone            |    731-607-8184
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    150 S Y SQ 
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    City                 |    SELMER
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    State                |    TN
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    Zip                  |    38375-1755
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. DONNA  NORRIS 
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    Credential           |    FNP
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    Telephone            |    731-607-8184
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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       |    APN12650
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    License Number State |    TN
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