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General NPI Number Information
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NPI Number | 1699343517
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Entity Type | Individual
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Provider Name | HALEY D KING NP
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Gender | Female
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Dates
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Enumeration Date | 06/16/2021
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 1101 NEAL ST
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City | COOKEVILLE
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State | TN
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Zip | 38501-0901
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Country | US
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Telephone | 931-528-7797
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Fax | 833-449-5334
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Provider Business Mailing Address
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Address Line | PO BOX 26194
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City | BELFAST
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State | ME
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Zip | 04915-2012
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Country | US
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Telephone | 865-584-4747
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Fax | 833-908-0998
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 30446
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 248125
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License Number State | TN
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