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General NPI Number Information
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NPI Number | 1508171356
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Entity Type | Individual
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Provider Name | LATONYA NICOLE KING DNP, APRN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 08/17/2010
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 341 FORTRESS BLVD APT 817
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City | MURFREESBORO
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State | TN
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Zip | 37128-5400
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Country | US
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Telephone | 707-716-4620
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Fax |
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Provider Business Mailing Address
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Address Line | 116 W 23RD ST
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City | NEW YORK
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State | NY
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Zip | 10011-2599
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95011155
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License Number State | CA
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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 | 15063
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License Number State | TN
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