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General NPI Number Information
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NPI Number | 1720689698
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Entity Type | Individual
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Provider Name | STEPHANIA ROSE COLANGIONE RN
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Gender | Female
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Dates
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Enumeration Date | 11/05/2020
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1615 MCMINNVILLE HWY
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City | MANCHESTER
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State | TN
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Zip | 37355-3179
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Country | US
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Telephone | 931-450-8255
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Fax |
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Provider Business Mailing Address
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Address Line | 138 PARKER RIDGE RD
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City | MANCHESTER
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State | TN
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Zip | 37355-8482
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Country | US
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Telephone | 931-409-2440
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 33414
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License Number State | TN
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