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General NPI Number Information
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NPI Number | 1538296496
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Entity Type | Individual
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Provider Name | MELINDA L PHILLIPS FREEMAN APN
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/14/2015
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Provider Practice Location Address
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Address Line | 199 HENSLEE DR
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City | DICKSON
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State | TN
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Zip | 37055-2076
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Country | US
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Telephone | 615-326-8361
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Fax | 615-326-8468
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Provider Business Mailing Address
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Address Line | 6171 HIGHWAY 48 N
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City | CUMBERLAND FURNACE
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State | TN
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Zip | 37051-4760
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Country | US
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Telephone | 615-838-6682
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 12498
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License Number State | TN
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