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General NPI Number Information
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NPI Number | 1588441620
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Entity Type | Organization
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Legal Business Name | ASCEND PEDIATRICS, LLC
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Dates
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Enumeration Date | 09/12/2023
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 108 4TH AVE S
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City | BAXTER
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State | TN
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Zip | 38544-5145
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Country | US
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Telephone | 931-349-8069
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Fax |
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Provider Business Mailing Address
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Address Line | 170 SOUTHERN WOODS CT
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City | COOKEVILLE
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State | TN
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Zip | 38506-7864
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Country | US
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Telephone | 931-349-8069
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Fax |
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Authorized Official
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Title or Position | PEDIATRIC NURSE PRACTITIONER
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Name | DR. KASSIE BARNES
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Credential | DNP, CPNP
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Telephone | 931-349-8069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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