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General NPI Number Information
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NPI Number | 1467894840
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Entity Type | Organization
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Legal Business Name | CONVENIENT CARE FAMILY MEDICINE
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Dates
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Enumeration Date | 07/25/2013
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Last Update Date | 10/15/2014
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Provider Practice Location Address
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Address Line | 222 MONUMENT RD SUITE 104
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City | SUMMERTOWN
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State | TN
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Zip | 38483-7728
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Country | US
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Telephone | 931-269-7061
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Fax | 931-269-7065
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Provider Business Mailing Address
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Address Line | 222 MONUMENT RD SUITE 104
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City | SUMMERTOWN
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State | TN
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Zip | 38483-7728
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Country | US
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Telephone | 931-269-7061
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Fax | 931-269-7065
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Authorized Official
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Title or Position | OWNER
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Name | AMY BARNHILL
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Credential | FNP-BC
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Telephone | 931-269-7061
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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 |
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License Number State |
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