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General NPI Number Information
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NPI Number | 1932577236
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Entity Type | Individual
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Provider Name | NATASHA WILSON NP
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Gender | Female
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Dates
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Enumeration Date | 09/03/2015
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Last Update Date | 10/03/2017
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Provider Practice Location Address
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Address Line | 2000 RICHARD JONES RD STE 220 GOLD SKIN CARE CENTER
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City | NASHVILLE
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State | TN
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Zip | 37215-2885
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Country | US
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Telephone | 615-383-2400
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Fax | 615-383-1948
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Provider Business Mailing Address
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Address Line | 2000 RICHARD JONES RD STE 220 GOLD SKIN CARE CENTER
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City | NASHVILLE
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State | TN
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Zip | 37215-2885
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Country | US
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Telephone | 615-383-2400
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Fax | 615-383-1948
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 21843
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 6617-33
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APN0000021843
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License Number State | TN
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