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General NPI Number Information
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NPI Number | 1700362365
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Entity Type | Individual
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Provider Name | YING ROUNTREE APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/17/2018
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Last Update Date | 07/17/2018
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Provider Practice Location Address
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Address Line | 1685 OLD PENDERGRASS RD
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City | JEFFERSON
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State | GA
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Zip | 30549-2705
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Country | US
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Telephone | 706-387-7637
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Fax |
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Provider Business Mailing Address
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Address Line | 2620 ELM HILL PIKE
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City | NASHVILLE
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State | TN
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Zip | 37214-3108
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Country | US
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Telephone |
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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 | RN171283
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License Number State | GA
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