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General NPI Number Information
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NPI Number | 1538305669
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Entity Type | Individual
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Provider Name | KATHARINE JANKE HUDDLESTON DOUILLARD WHNP-BC, RN
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Gender | Female
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Dates
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Enumeration Date | 12/18/2008
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Last Update Date | 10/26/2010
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Provider Practice Location Address
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Address Line | 329 21ST AVE N STE 4
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City | NASHVILLE
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State | TN
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Zip | 37203-1838
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Country | US
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Telephone | 615-329-9333
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Fax | 615-329-0222
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Provider Business Mailing Address
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Address Line | 300 20TH AVE NORTH SUITE 106
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City | NASHVILLE
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State | TN
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Zip | 37203
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Country | US
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Telephone | 615-284-5887
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Fax | 615-284-5889
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 13109
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License Number State | TN
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