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General NPI Number Information
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NPI Number | 1942266671
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Entity Type | Individual
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Provider Name | CARLY BHAVE C.R.N.P.
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Gender | Female
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2200 CHILDRENS WAY VCH 3209
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City | NASHVILLE
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State | TN
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Zip | 37232-9625
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Country | US
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Telephone | 615-936-6199
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Fax | 615-936-7816
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Provider Business Mailing Address
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Address Line | 3841 GREEN HILLS VILLAGE DR STE 200
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City | NASHVILLE
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State | TN
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Zip | 37215-2691
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Country | US
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Telephone |
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APN0000012119
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License Number State | TN
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