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General NPI Number Information
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NPI Number | 1851339352
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Entity Type | Organization
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Legal Business Name | TRINITY FAMILY HEALTH CARE CENTER
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4761 ANDREW JACKSON PKWY SUITE 108
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City | HERMITAGE
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State | TN
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Zip | 37076-1354
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Country | US
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Telephone | 615-889-9906
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Fax | 615-889-9954
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Provider Business Mailing Address
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Address Line | PO BOX 123
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City | HERMITAGE
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State | TN
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Zip | 37076-0123
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Country | US
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Telephone | 615-889-9906
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Fax | 615-889-9954
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Authorized Official
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Title or Position | CEO/OWNER
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Name | KIMBERLEY M WILLIAMS
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Credential | FNP-C
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Telephone | 615-889-9906
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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 |
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License Number State |
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