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General NPI Number Information
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NPI Number | 1942766225
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Entity Type | Organization
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Legal Business Name | RESTORING HEALTH CLINIC
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Dates
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Enumeration Date | 02/12/2019
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 311 LANDRUM PL STE 500C
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City | CLARKSVILLE
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State | TN
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Zip | 37043-6319
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Country | US
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Telephone | 931-272-2446
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Fax | 931-266-0528
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Provider Business Mailing Address
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Address Line | 311 LANDRUM PL STE 500C
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City | CLARKSVILLE
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State | TN
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Zip | 37043-6319
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Country | US
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Telephone | 931-272-2446
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Fax | 931-266-0528
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | STEPHANIE SHEA MUDD
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Credential |
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Telephone | 931-272-2446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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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 |
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License Number State |
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