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General NPI Number Information
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NPI Number | 1992616106
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Entity Type | Individual
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Provider Name | JARED TAYLOR TEEL RN
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Gender | Male
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 4655 E MAIN ST
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City | HUMBOLDT
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State | TN
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Zip | 38343-6464
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Country | US
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Telephone | 731-388-5010
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Fax |
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Provider Business Mailing Address
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Address Line | 56 S CRAVES CIR
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City | BELLS
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State | TN
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Zip | 38006-4191
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Country | US
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Telephone | 731-313-1600
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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 | 276022
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License Number State | TN
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