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General NPI Number Information
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NPI Number | 1972527067
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Entity Type | Individual
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Provider Name | BRITTON J CHURCHMAN FNP
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 1010 ROGER REESE RD
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City | GALLATIN
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State | TN
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Zip | 37066-9422
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Country | US
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Telephone | 615-359-0361
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 ROGER REESE RD
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City | GALLATIN
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State | TN
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Zip | 37066-9422
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Country | US
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Telephone | 615-359-0361
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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 | 12927
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License Number State | TN
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