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General NPI Number Information
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NPI Number | 1770636474
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Entity Type | Individual
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Provider Name | BETH G TOBEY FNP APRN-BC
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Gender | Female
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 07/23/2020
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Provider Practice Location Address
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Address Line | 2028 W POPLAR AVE STE 111
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City | COLLIERVILLE
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State | TN
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Zip | 38017-0618
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Country | US
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Telephone | 901-850-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 1425 POOLE RD
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City | MOSCOW
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State | TN
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Zip | 38057-8449
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Country | US
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Telephone | 901-355-7623
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN0000005592
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License Number State | TN
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