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General NPI Number Information
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NPI Number | 1578249959
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Entity Type | Individual
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Provider Name | STEPHANIE LYNN MAGARETE DYLE FNP-C, MSN, CWCN
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Gender | Female
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Dates
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Enumeration Date | 06/22/2023
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Last Update Date | 06/22/2023
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Provider Practice Location Address
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Address Line | 112 HEALTH CARE DR
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City | CARTHAGE
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State | TN
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Zip | 37030-1168
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Country | US
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Telephone | 724-593-8727
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Fax |
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Provider Business Mailing Address
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Address Line | 4015 VIOLA LN
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City | FRANKLIN
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State | TN
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Zip | 37069-1427
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Country | US
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Telephone | 629-333-8428
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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 | 34147
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License Number State | TN
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