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General NPI Number Information
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NPI Number | 1811155435
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Entity Type | Individual
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Provider Name | BANJUL LESHEILA COVINGTON F.N.P.
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Gender | Female
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Dates
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Enumeration Date | 05/30/2008
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Last Update Date | 02/02/2016
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Provider Practice Location Address
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Address Line | 6570 STAGE RD STE 160
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City | BARTLETT
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State | TN
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Zip | 38134-2839
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Country | US
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Telephone | 901-205-0182
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Fax | 901-672-8941
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Provider Business Mailing Address
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Address Line | 131 SAUNDERSVILLE RD STE 160
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-8903
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Country | US
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Telephone | 615-824-3737
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Fax | 615-452-8545
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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 | APN12692
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License Number State | TN
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