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NPI 1417928854

NPI 1417928854 : ALICIA GAILE SPRINGER NP : LEXINGTON, TN

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General NPI Number Information
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    NPI Number           |    1417928854
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    Entity Type          |    Individual 
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    Provider Name        |    ALICIA GAILE SPRINGER NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/01/2006
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    Last Update Date     |    08/12/2020
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Provider Practice Location Address
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    Address Line         |    16615 HIGHWAY 104 N SUITE B
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    City                 |    LEXINGTON
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    State                |    TN
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    Zip                  |    38351-5752
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    Country              |    US
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    Telephone            |    731-968-0660
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    Fax                  |    731-968-0007
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Provider Business Mailing Address
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    Address Line         |    16615 HIGHWAY 104 N SUITE B
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    City                 |    LEXINGTON
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    State                |    TN
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    Zip                  |    38351-5752
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    Country              |    US
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    Telephone            |    731-968-0660
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    Fax                  |    731-968-0007
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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       |    8026
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    261QR1300X
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    Taxonomy Name        |    Rural Health Clinic/Center
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    License Number       |    8026
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    License Number State |    TN
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