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General NPI Number Information
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NPI Number | 1134308646
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Entity Type | Individual
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Provider Name | JENNIFER LYNN ANDERSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 2805 W GOVERNOR JOHN SEVIER HWY
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City | KNOXVILLE
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State | TN
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Zip | 37920-5552
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Country | US
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Telephone | 865-298-3558
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4578
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City | SEVIERVILLE
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State | TN
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Zip | 37864-4578
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Country | US
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Telephone | 865-365-4233
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Fax | 865-365-4234
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 0101268169
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | 43185
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 43185
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License Number State | TN
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