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General NPI Number Information
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NPI Number | 1952701039
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Entity Type | Individual
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Provider Name | MAGDALENA MAKARUCHA NP-C
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Gender | Female
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Dates
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Enumeration Date | 08/26/2014
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 212 BABB DR STE B
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City | LEBANON
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State | TN
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Zip | 37087-4885
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Country | US
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Telephone | 615-449-1459
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Fax | 615-453-2833
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Provider Business Mailing Address
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Address Line | 408 42ND AVE N STE 300
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City | NASHVILLE
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State | TN
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Zip | 37209-3669
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Country | US
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Telephone | 615-356-4111
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Fax | 615-356-8011
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 19059
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License Number State | TN
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