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General NPI Number Information
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NPI Number | 1821997529
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Entity Type | Individual
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Provider Name | BRAELYNN NATILEE WOOTEN LPN
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Gender | Female
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 6000 RAMSEY WAY
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City | DICKSON
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State | TN
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Zip | 37055-2198
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Country | US
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Telephone | 188-829-1435
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Fax |
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Provider Business Mailing Address
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Address Line | 2970 SYLVIA RD
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City | DICKSON
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State | TN
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Zip | 37055-5541
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Country | US
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Telephone | 615-279-6746
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 104457
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License Number State | TN
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