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General NPI Number Information
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NPI Number | 1639273626
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Entity Type | Organization
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Legal Business Name | TENNESSEE VALLEY HEALTH CARE SYSTEM
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1310 24TH AVE S
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City | NASHVILLE
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State | TN
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Zip | 37212-2637
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Country | US
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Telephone | 615-321-6373
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 110841
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City | NASHVILLE
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State | TN
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Zip | 37222-0841
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Country | US
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Telephone | 615-792-0202
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Fax |
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Authorized Official
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Title or Position | RENAL TRANSPLANT NURSE PRACTITIONER
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Name | MRS. BEATRICE B EDMUNDSON
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Credential | RN, CFNP
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Telephone | 615-321-6373
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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 | APN00008329
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License Number State | TN
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