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General NPI Number Information
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NPI Number | 1467486597
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH CARE OF GALLATIN
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 831B NASHVILLE PIKE
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City | GALLATIN
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State | TN
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Zip | 37066-3103
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Country | US
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Telephone | 615-206-0500
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Fax | 605-206-0092
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Provider Business Mailing Address
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Address Line | 831B NASHVILLE PIKE
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City | GALLATIN
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State | TN
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Zip | 37066-3103
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Country | US
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Telephone | 615-206-0500
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Fax | 605-206-0092
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Authorized Official
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Title or Position | OWNER
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Name | MS. SUSAN M ANDERSON
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Credential | F.N.P.
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Telephone | 615-206-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN11629
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License Number State | TN
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