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General NPI Number Information
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NPI Number | 1417321779
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Entity Type | Individual
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Provider Name | DANIELLE STORY CRAIG NP
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Gender | Female
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Dates
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Enumeration Date | 11/23/2015
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 800 VOLUNTEER DR
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City | PARIS
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State | TN
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Zip | 38242-5472
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Country | US
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Telephone | 731-642-2535
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Fax |
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Provider Business Mailing Address
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Address Line | 800 VOLUNTEER DR
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City | PARIS
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State | TN
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Zip | 38242-5472
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Country | US
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Telephone | 731-642-2535
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Fax |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 3013269
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License Number State | KY
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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 | 20621
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License Number State | TN
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