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General NPI Number Information
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NPI Number | 1750753117
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Entity Type | Individual
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Provider Name | CAROLINE PHILLIPS RAINEY CPNP
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Gender | Female
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Dates
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Enumeration Date | 10/26/2015
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Last Update Date | 04/13/2018
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Provider Practice Location Address
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Address Line | 16 MEDICAL CENTER DR
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City | MONROEVILLE
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State | AL
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Zip | 36460-3036
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Country | US
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Telephone | 251-575-3266
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Fax | 251-575-3262
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Provider Business Mailing Address
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Address Line | 310 25TH AVE N STE 210
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City | NASHVILLE
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State | TN
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Zip | 37203-1515
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Country | US
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Telephone | 334-797-7538
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 20603
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License Number State | TN
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