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General NPI Number Information
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NPI Number | 1841339777
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Entity Type | Organization
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Legal Business Name | MICHIE HEALTHCARE ASSOCIATES, LLC
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5823 HIGHWAY 22
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City | MICHIE
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State | TN
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Zip | 38357-5175
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Country | US
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Telephone | 731-239-9470
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Fax | 901-239-9472
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Provider Business Mailing Address
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Address Line | 5823 HIGHWAY 22
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City | MICHIE
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State | TN
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Zip | 38357-5175
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Country | US
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Telephone | 731-239-9470
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Fax | 901-239-9472
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Authorized Official
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Title or Position | PARTNER
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Name | DEE BLAKNEY
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Credential | FNP
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Telephone | 731-239-9470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN0000006154
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN0000005664
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN0000006345
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License Number State | TN
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