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General NPI Number Information
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NPI Number | 1447967039
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Entity Type | Individual
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Provider Name | MACI MICHELLE KOEHNER APRN
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Gender | Female
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Dates
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Enumeration Date | 11/02/2022
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 5651 FRIST BLVD
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City | HERMITAGE
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State | TN
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Zip | 37076-2054
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Country | US
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Telephone | 615-886-9730
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Fax | 615-884-6133
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Provider Business Mailing Address
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Address Line | 5207A KENTUCKY AVE
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City | NASHVILLE
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State | TN
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Zip | 37209-2006
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Country | US
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Telephone |
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 32840
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 32840
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License Number State | TN
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