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General NPI Number Information
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NPI Number | 1700122579
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Entity Type | Individual
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Provider Name | RENAE CHARLENE ATKINS FNP
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Gender | Female
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Dates
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Enumeration Date | 12/21/2012
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 104 E CULVER RD STE 106
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City | KNOX
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State | IN
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Zip | 46534-2241
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Country | US
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Telephone | 574-772-7400
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Fax | 574-772-0299
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Provider Business Mailing Address
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Address Line | 104 E CULVER RD STE 106
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City | KNOX
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State | IN
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Zip | 46534-2241
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Country | US
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Telephone | 574-772-7400
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Fax | 574-772-0299
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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 | 71004294A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 28164138A
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License Number State | IN
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