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General NPI Number Information
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NPI Number | 1952796724
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Entity Type | Individual
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Provider Name | VANJA PUMPALOVIC
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Gender | Female
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Dates
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Enumeration Date | 03/30/2015
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 424 LEWIS HARGETT CIR FL 2
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City | LEXINGTON
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State | KY
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Zip | 40503-3688
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Country | US
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Telephone | 859-489-4808
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Fax | 855-631-0119
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Provider Business Mailing Address
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Address Line | 1837 AMESBURY LN
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City | NASHVILLE
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State | TN
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Zip | 37221-2531
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Country | US
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Telephone | 615-939-9391
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN0000019734
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3018038
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License Number State | KY
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