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General NPI Number Information
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NPI Number | 1467961169
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Entity Type | Individual
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Provider Name | HOLLI MORRIS HUXTABLE
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Gender | Female
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Dates
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Enumeration Date | 09/25/2017
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1508 CARL ADAMS DR STE 400
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City | MURFREESBORO
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State | TN
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Zip | 37129-4375
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Country | US
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Telephone | 629-236-2173
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Fax |
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Provider Business Mailing Address
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Address Line | 1034 PUSHER PL
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City | ROCKVALE
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State | TN
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Zip | 37153-4190
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Country | US
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Telephone | 615-347-2622
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 22943
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License Number State | TN
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