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General NPI Number Information
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NPI Number | 1992601223
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Entity Type | Organization
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Legal Business Name | MT JULIET DRIP BAR LLC
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Dates
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Enumeration Date | 10/14/2026
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Last Update Date | 10/14/2026
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Provider Practice Location Address
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Address Line | 12920 LEBANON RD STE 2
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City | MT JULIET
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State | TN
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Zip | 37122-2865
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Country | US
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Telephone | 615-754-1717
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Fax |
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Provider Business Mailing Address
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Address Line | 12920 LEBANON RD STE 2
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City | MT JULIET
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State | TN
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Zip | 37122-2865
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Country | US
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Telephone | 615-754-1717
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | BRIANNA DANYELLE HAMBY
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Credential | APRN, FNP-C
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Telephone | 256-591-5367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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