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General NPI Number Information
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NPI Number | 1629211750
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Entity Type | Individual
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Provider Name | VICKIE GATLIN ANP
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Gender | Female
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Dates
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Enumeration Date | 04/20/2009
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Last Update Date | 03/12/2020
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Provider Practice Location Address
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Address Line | 1800 MEDICAL CENTER PKWY STE 310
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City | MURFREESBORO
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State | TN
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Zip | 37129-2586
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Country | US
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Telephone | 615-849-9868
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Fax | 615-898-1882
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Provider Business Mailing Address
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Address Line | 300 20TH AVE N STE 403
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City | NASHVILLE
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State | TN
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Zip | 37203-5180
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Country | US
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Telephone | 615-849-9868
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Fax | 615-898-1882
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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 | 13939
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License Number State | TN
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