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General NPI Number Information
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NPI Number | 1811361603
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Entity Type | Individual
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Provider Name | PAMELA RHIEL CNP
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Gender | Female
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Dates
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Enumeration Date | 11/17/2015
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 415 COLE DR
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City | PIGEON FORGE
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State | TN
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Zip | 37863-3775
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Country | US
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Telephone | 865-428-5454
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Fax | 763-390-4035
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Provider Business Mailing Address
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Address Line | 3819 BROOKVIEW CT
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City | LOUISVILLE
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State | TN
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Zip | 37777-3161
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Country | US
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Telephone |
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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 | CNP 4209
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 35328
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License Number State | TN
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