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General NPI Number Information
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NPI Number | 1972751410
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Entity Type | Individual
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Provider Name | VICKI CLINARD R.N.
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Gender | Female
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Dates
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Enumeration Date | 09/08/2008
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Last Update Date | 09/08/2008
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Provider Practice Location Address
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Address Line | 2011 CHURCH ST LOWR LEVER
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City | NASHVILLE
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State | TN
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Zip | 37203-2000
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Country | US
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Telephone | 615-515-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 551
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City | JOELTON
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State | TN
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Zip | 37080-0551
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN0000096213
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License Number State | TN
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