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General NPI Number Information
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NPI Number | 1639653884
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Entity Type | Individual
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Provider Name | STACY FLOWERS FNP
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Gender | Female
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Dates
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Enumeration Date | 09/23/2018
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Last Update Date | 11/07/2019
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Provider Practice Location Address
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Address Line | 5616 BRAINERD RD STE 108
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City | CHATTANOOGA
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State | TN
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Zip | 37411-5377
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Country | US
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Telephone | 423-803-1379
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Fax | 855-699-6867
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Provider Business Mailing Address
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Address Line | 1311 VIRGINIA AVE SW
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City | CLEVELAND
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State | TN
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Zip | 37311-2536
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Country | US
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Telephone | 423-716-5412
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN0000024455
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License Number State | TN
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