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General NPI Number Information
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NPI Number | 1396047965
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Entity Type | Individual
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Provider Name | MICHELLE NICOLE NEFF N.P.
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Gender | Female
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Dates
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Enumeration Date | 12/02/2010
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Last Update Date | 01/21/2013
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Provider Practice Location Address
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Address Line | 115 WINWOOD DR STE 105
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City | LEBANON
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State | TN
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Zip | 37087-1340
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Country | US
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Telephone | 615-645-3193
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Fax | 615-453-1848
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Provider Business Mailing Address
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Address Line | 515 STONECREST PKWY STE 210
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City | SMYRNA
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State | TN
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Zip | 37167-6826
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Country | US
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Telephone | 615-625-7112
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Fax | 615-625-7028
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 15432
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License Number State | TN
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