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General NPI Number Information
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NPI Number | 1912725086
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Entity Type | Individual
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Provider Name | BROOKE BUTLER ROBERTSON MSN, AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/28/2024
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 1411 W BADDOUR PKWY
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City | LEBANON
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State | TN
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Zip | 37087-2513
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Country | US
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Telephone | 615-444-8262
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Fax |
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Provider Business Mailing Address
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Address Line | 1156 NASHVILLE PIKE
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City | GALLATIN
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State | TN
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Zip | 37066-3110
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Country | US
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Telephone | 615-989-1088
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 237327
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 37448
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License Number State | TN
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