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General NPI Number Information
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NPI Number | 1710517206
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Entity Type | Individual
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Provider Name | TAMMY MCWHIRTER NP
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Gender | Female
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Dates
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Enumeration Date | 01/23/2020
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 1005 W MARKET ST STE 7
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City | ATHENS
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State | AL
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Zip | 35611-2454
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Country | US
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Telephone | 256-216-9744
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Fax |
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Provider Business Mailing Address
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Address Line | 26285 DRAWBAUGH RD
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City | ATHENS
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State | AL
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Zip | 35613-3845
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Country | US
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Telephone | 256-777-8593
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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 | 27131
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License Number State | TN
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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 | 1-087810
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License Number State | AL
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