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General NPI Number Information
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NPI Number | 1598572125
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Entity Type | Individual
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Provider Name | HONEYE HEYDARI FNP
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Gender | Female
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 5291 AIRLINE RD STE 108
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City | ARLINGTON
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State | TN
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Zip | 38002-4274
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Country | US
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Telephone | 901-687-9878
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Fax | 800-285-9818
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Provider Business Mailing Address
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Address Line | 5291 AIRLINE RD STE 108
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City | ARLINGTON
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State | TN
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Zip | 38002-4274
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Country | US
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Telephone | 901-687-9878
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Fax | 800-285-9818
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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 | APN35019
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License Number State | TN
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