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NPI 1487894093

NPI 1487894093 : PAMELA M PRESTON ARNP : MURFREESBORO, TN

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General NPI Number Information
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    NPI Number           |    1487894093
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    Entity Type          |    Individual 
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    Provider Name        |    PAMELA M PRESTON ARNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/23/2009
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    Last Update Date     |    06/04/2009
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Provider Practice Location Address
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    Address Line         |    2325 MEMORIAL BLVD 
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    City                 |    MURFREESBORO
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    State                |    TN
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    Zip                  |    37129-5108
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    Country              |    US
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    Telephone            |    615-225-0290
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    Fax                  |    615-225-0296
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Provider Business Mailing Address
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    Address Line         |    8 CADILLAC DR SUITE 250
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    City                 |    BRENTWOOD
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    State                |    TN
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    Zip                  |    37027-5087
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    Country              |    US
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    Telephone            |    615-425-4200
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    Fax                  |    615-425-4271
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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       |    6495
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    License Number State |    TN
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