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General NPI Number Information
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NPI Number | 1740917848
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Entity Type | Individual
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Provider Name | AMY OWENS FNP
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Gender | Female
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 12/06/2022
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Provider Practice Location Address
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Address Line | 1660 BONNIE LN STE 105
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City | CORDOVA
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State | TN
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Zip | 38016-0519
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Country | US
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Telephone | 901-620-9480
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Fax |
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Provider Business Mailing Address
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Address Line | 5370 WATKINS GLEN CIR E APT 206
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City | ARLINGTON
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State | TN
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Zip | 38002-4974
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Country | US
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Telephone | 901-620-9480
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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 | 163WX0003X
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Taxonomy Name | Inpatient Obstetric Registered Nurse
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License Number | 167096
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 32344
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License Number State | TN
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