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General NPI Number Information
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NPI Number | 1962244491
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Entity Type | Organization
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Legal Business Name | ONE HEART PRIMARY CARE, PLLC
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 515 ROCK BRIDGE RD
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City | OLIVER SPRINGS
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State | TN
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Zip | 37840
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Country | US
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Telephone | 865-392-1888
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Fax | 865-392-1889
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Provider Business Mailing Address
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Address Line | PO BOX 480
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City | OLIVER SPRINGS
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State | TN
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Zip | 37840
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Country | US
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Telephone | 865-392-1888
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Fax | 865-392-1889
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Authorized Official
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Title or Position | OWNER/FAMILY NURSE PACTITIONER
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Name | MRS. LAURA ELIZABETH JONES
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Credential | FNP-BC
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Telephone | 865-392-1888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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