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General NPI Number Information
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NPI Number | 1730238486
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Entity Type | Individual
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Provider Name | FARYN ELIZABETH BARDIN FNP
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Gender | Female
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 10/23/2008
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Provider Practice Location Address
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Address Line | 515 STONECREST PKWY
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City | SMYRNA
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State | TN
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Zip | 37167-6826
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Country | US
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Telephone | 615-715-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 221 ALDWYCH WAY
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City | ANTIOCH
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State | TN
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Zip | 37013-2841
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Country | US
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Telephone | 615-306-5511
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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 | APN0000012471
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License Number State | TN
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