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NPI 1427684703

NPI 1427684703 : EMILY ROBINSON MCKAMEY NP-C : ETHRIDGE, TN

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General NPI Number Information
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    NPI Number           |    1427684703
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    Entity Type          |    Individual 
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    Provider Name        |    EMILY ROBINSON MCKAMEY NP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/18/2020
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    Last Update Date     |    12/12/2021
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Provider Practice Location Address
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    Address Line         |    88 W EDAN RD 
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    City                 |    ETHRIDGE
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    State                |    TN
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    Zip                  |    38456-5137
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    Country              |    US
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    Telephone            |    931-829-2056
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    201 GRANDVIEW DR 
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    City                 |    LAWRENCEBURG
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    State                |    TN
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    Zip                  |    38464-6967
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    Country              |    US
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    Telephone            |    931-797-5119
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    0000227496
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    License Number State |    TN
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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       |    0000030337
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    License Number State |    TN
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