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General NPI Number Information
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NPI Number | 1861498776
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Entity Type | Individual
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Provider Name | BRENDA SPRINGFIELD FNP
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Gender | Female
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 03/08/2010
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Provider Practice Location Address
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Address Line | BOX 1798 DEPT 07-49
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City | MEMPHIS
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State | TN
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Zip | 38101-9715
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Country | US
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Telephone | 901-476-1313
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Fax | 901-476-1314
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Provider Business Mailing Address
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Address Line | 1111 HIGHWAY 51 S
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City | COVINGTON
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State | TN
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Zip | 38019-3236
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Country | US
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Telephone | 901-476-1313
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Fax | 901-476-1314
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | APN6976
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License Number State | TN
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