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General NPI Number Information
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NPI Number | 1679353742
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Entity Type | Individual
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Provider Name | TIMOTHY CHAD STREET APRN, FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 10/04/2023
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Last Update Date | 08/30/2025
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Provider Practice Location Address
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Address Line | 150 HUTTON PL
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City | ASHLAND CITY
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State | TN
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Zip | 37015-4953
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Country | US
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Telephone | 615-792-2223
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Fax |
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Provider Business Mailing Address
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Address Line | 6116 S RIVERBEND DR
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City | NASHVILLE
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State | TN
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Zip | 37221-3935
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Country | US
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Telephone | 423-213-2192
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 33935
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 242473
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 38355
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License Number State | TN
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