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General NPI Number Information
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NPI Number | 1992100291
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Entity Type | Individual
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Provider Name | TRINITY J BOONE C.P.N.P.
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Gender | Female
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Dates
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Enumeration Date | 10/29/2014
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Last Update Date | 01/18/2019
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Provider Practice Location Address
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Address Line | 2200 CHILDRENS WAY # 10142
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City | NASHVILLE
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State | TN
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Zip | 37232-3234
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Country | US
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Telephone | 615-343-7617
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Fax | 615-343-1865
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Provider Business Mailing Address
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Address Line | 2200 CHILDRENS WAY # 10142
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City | NASHVILLE
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State | TN
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Zip | 37232-4701
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Country | US
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Telephone | 615-343-7617
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Fax | 615-343-1865
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APN22677
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN242574
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License Number State | GA
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