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General NPI Number Information
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NPI Number | 1821139833
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Entity Type | Individual
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Provider Name | LADY LOUGHRY HAMILTON APN
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Gender | Female
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Dates
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Enumeration Date | 02/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1500 GREENLAND DR
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City | MURFREESBORO
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State | TN
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Zip | 37132-3100
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Country | US
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Telephone | 615-898-2988
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Fax |
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Provider Business Mailing Address
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Address Line | 1489 BRADBERRY DR
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City | MURFREESBORO
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State | TN
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Zip | 37130-1146
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Country | US
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Telephone | 615-893-4770
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 12493
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License Number State | TN
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