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General NPI Number Information
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NPI Number | 1821158031
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Entity Type | Individual
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Provider Name | ALISON REPASS HERRIG NP
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Gender | Female
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 02/16/2021
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Provider Practice Location Address
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Address Line | 410 N STATE OF FRANKLIN RD STE 130
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City | JOHNSON CITY
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State | TN
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Zip | 37604-6972
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Country | US
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Telephone | 423-431-2477
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Fax | 423-431-2477
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Provider Business Mailing Address
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Address Line | 509 MED TECH PKWY STE 100
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2579
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Country | US
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Telephone | 423-302-6565
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Fax | 423-952-2175
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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 | RN176646
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 11273
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License Number State | TN
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