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General NPI Number Information
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NPI Number | 1699091447
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Entity Type | Organization
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Legal Business Name | CARING FAMILY PRACTICE PLLC
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 08/12/2010
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Provider Practice Location Address
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Address Line | 311 LANDRUM PLACE SUITE C500
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City | CLARKSVILLE
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State | TN
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Zip | 37043
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Country | US
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Telephone | 931-245-2086
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Fax | 931-245-2087
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Provider Business Mailing Address
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Address Line | 311 LANDRUM PLACE SUITE C500
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City | CLARKSVILLE
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State | TN
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Zip | 37043
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Country | US
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Telephone | 931-245-2086
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Fax | 931-245-2087
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Authorized Official
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Title or Position | OWNER
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Name | MS. KIMBERLY A THOMAS
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Credential | CFNP
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Telephone | 931-245-2086
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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 | APN0000006394
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License Number State | TN
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