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General NPI Number Information
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NPI Number | 1881255610
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Entity Type | Organization
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Legal Business Name | NG HOLDINGS
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Dates
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Enumeration Date | 06/24/2019
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Last Update Date | 06/24/2019
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Provider Practice Location Address
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Address Line | 7424 HWY 64, SUITE 118
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City | BARTLETT
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State | TN
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Zip | 38133
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Country | US
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Telephone | 901-244-6631
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Fax | 901-244-6573
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Provider Business Mailing Address
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Address Line | 7424 HWY 64, SUITE 118
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City | BARTLETT
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State | TN
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Zip | 38133
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Country | US
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Telephone | 901-244-6631
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Fax | 901-244-6573
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Authorized Official
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Title or Position | NP/OWNER
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Name | DAWN M BARROM
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Credential | ACNP
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Telephone | 901-244-6631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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