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General NPI Number Information
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NPI Number | 1134632292
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Entity Type | Organization
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Legal Business Name | SHEEP INC
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Dates
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Enumeration Date | 11/13/2017
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Last Update Date | 11/13/2017
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Provider Practice Location Address
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Address Line | 1400 N 6TH AVE STE D-1
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City | KNOXVILLE
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State | TN
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Zip | 37917-6043
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Country | US
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Telephone | 865-724-3907
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 27473
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City | KNOXVILLE
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State | TN
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Zip | 37927-7473
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Country | US
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Telephone | 865-742-3901
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MARILYN YVETTE COOK
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Credential | EXECUTIVE DIRECTOR
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Telephone | 865-724-3901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | TN
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