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General NPI Number Information
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NPI Number | 1891472130
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Entity Type | Individual
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Provider Name | PAULA MICHELE MARSHALL FNP-C, CWON
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Gender | Female
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Dates
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Enumeration Date | 06/29/2023
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 300 STEAM PLANT RD STE 150
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City | GALLATIN
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State | TN
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Zip | 37066-3062
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Country | US
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Telephone | 615-328-3808
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Fax |
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Provider Business Mailing Address
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Address Line | 1033 BENDING CHESTNUT DR
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City | LEBANON
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State | TN
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Zip | 37087-5959
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Country | US
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Telephone | 615-630-3849
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F06232009
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License Number State | TN
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