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General NPI Number Information
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NPI Number | 1023053071
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Entity Type | Individual
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Provider Name | SHARON G ANDERSON NP
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Gender | Female
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 455 CHICKAMAUGA DR 104
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City | DAYTON
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State | TN
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Zip | 37321-4286
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Country | US
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Telephone | 423-570-0252
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Fax | 423-570-0256
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Provider Business Mailing Address
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Address Line | 6170 SHALLOWFORD RD 101
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City | CHATTANOOGA
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State | TN
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Zip | 37421-1892
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Country | US
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Telephone | 423-648-4500
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Fax | 423-855-7563
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APN0000011666
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License Number State | TN
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