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General NPI Number Information
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NPI Number | 1992253751
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Entity Type | Individual
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Provider Name | NICOLE ELLIS PAGE NP
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Gender | Female
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Dates
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Enumeration Date | 09/21/2016
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Last Update Date | 09/21/2016
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Provider Practice Location Address
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Address Line | 441 DONELSON PIKE SUITE 395
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City | NASHVILLE
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State | TN
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Zip | 37214-3568
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Country | US
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Telephone | 615-367-1444
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Fax | 615-367-1445
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Provider Business Mailing Address
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Address Line | 441 DONELSON PIKE SUITE 395
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City | NASHVILLE
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State | TN
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Zip | 37214-3568
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Country | US
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Telephone | 615-367-1444
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Fax | 615-367-1445
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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 | 181828
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 21633
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License Number State | TN
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