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General NPI Number Information
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NPI Number | 1386256592
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Entity Type | Individual
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Provider Name | AMBER GROSS SHOULDERS
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Gender | Female
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Dates
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Enumeration Date | 08/19/2020
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 345 23RD AVE N STE 328
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City | NASHVILLE
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State | TN
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Zip | 37203-1681
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Country | US
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Telephone | 615-329-9082
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Fax | 615-329-2423
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Provider Business Mailing Address
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Address Line | 3024 BUSINESS PARK CIR
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City | GOODLETTSVILLE
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State | TN
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Zip | 37072-3132
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Country | US
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Telephone | 615-851-6033
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Fax | 615-234-1513
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN0000027865
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License Number State | TN
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