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General NPI Number Information
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NPI Number | 1467809327
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Entity Type | Individual
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Provider Name | STEPHANIE J BECKETT APRN
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Gender | Female
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Dates
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Enumeration Date | 05/20/2016
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 6965 CUMBERLAND GAP PKWY STE 315
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City | HARROGATE
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State | TN
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Zip | 37752-8245
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Country | US
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Telephone | 423-869-6249
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Fax | 423-869-6675
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Provider Business Mailing Address
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Address Line | 6965 CUMBERLAND GAP PKWY STE 315
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City | HARROGATE
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State | TN
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Zip | 37752-8245
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Country | US
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Telephone | 423-869-6249
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Fax | 423-869-6675
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 00000
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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 | 3011263
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 21294
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License Number State | TN
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