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General NPI Number Information
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NPI Number | 1023077534
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Entity Type | Individual
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Provider Name | RATHEANY SAKBUN MD
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Gender | Female
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 03/31/2016
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Provider Practice Location Address
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Address Line | 7557B DANNAHER DR SUITE G55
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City | POWELL
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State | TN
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Zip | 37849-3568
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Country | US
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Telephone | 865-859-7370
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Fax | 865-859-7389
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Provider Business Mailing Address
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Address Line | 7557B DANNAHER DR SUITE G55
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City | POWELL
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State | TN
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Zip | 37849-3568
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Country | US
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Telephone | 865-859-7370
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Fax | 865-859-7389
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD52312
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License Number State | TN
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