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General NPI Number Information
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NPI Number | 1821455510
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Entity Type | Individual
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Provider Name | JENNIFER TOULON RAGUSA MSN, RN, FNP
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Gender | Female
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Dates
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Enumeration Date | 01/26/2016
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Last Update Date | 03/29/2023
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Provider Practice Location Address
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Address Line | 130 SEABOARD LN STE A10
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City | FRANKLIN
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State | TN
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Zip | 37067-8221
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Country | US
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Telephone | 629-300-5145
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Fax | 629-252-7889
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Provider Business Mailing Address
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Address Line | 130 SEABOARD LN STE A10
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City | FRANKLIN
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State | TN
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Zip | 37067-8221
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Country | US
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Telephone | 629-300-5145
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Fax | 629-252-7889
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 95003395
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 31694
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License Number State | TN
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