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General NPI Number Information
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NPI Number | 1942962287
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Entity Type | Individual
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Provider Name | TABITHA CHRISTINA PHILLIPS BASSETT RN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 10/13/2021
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Last Update Date | 10/13/2021
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Provider Practice Location Address
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Address Line | 7152 KYLES CREEK DR
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City | FAIRVIEW
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State | TN
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Zip | 37062-7342
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Country | US
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Telephone | 256-431-6561
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Fax |
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Provider Business Mailing Address
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Address Line | 7152 KYLES CREEK DR
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City | FAIRVIEW
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State | TN
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Zip | 37062-7342
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Country | US
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Telephone | 256-431-6561
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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 | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | 197561
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 197561
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License Number State | TN
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