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NPI 1821534314

NPI 1821534314 : SARA HARGROVE ERGER APRN : COOKEVILLE, TN

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General NPI Number Information
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    NPI Number           |    1821534314
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    Entity Type          |    Individual 
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    Provider Name        |    SARA HARGROVE ERGER APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/09/2017
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    Last Update Date     |    11/16/2023
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Provider Practice Location Address
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    Address Line         |    851 S WILLOW AVE STE 112 
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    City                 |    COOKEVILLE
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    State                |    TN
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    Zip                  |    38501-4222
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    Country              |    US
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    Telephone            |    615-941-8501
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    Fax                  |    615-941-8102
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Provider Business Mailing Address
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    Address Line         |    3024 BUSINESS PARK CIR 
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    City                 |    GOODLETTSVILLE
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    State                |    TN
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    Zip                  |    37072-3132
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    Country              |    US
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    Telephone            |    615-239-2018
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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        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    22089
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    License Number State |    TN
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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       |    22089
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    License Number State |    TN
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