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General NPI Number Information
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NPI Number | 1144237033
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Entity Type | Individual
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Provider Name | ALICE WARD SHOOK FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 04/04/2013
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Provider Practice Location Address
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Address Line | 106 HOLT CT
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City | GREENEVILLE
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State | TN
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Zip | 37743-6917
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Country | US
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Telephone | 423-444-5838
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Fax |
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Provider Business Mailing Address
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Address Line | 184 LORENA LN
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City | JONESBOROUGH
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State | TN
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Zip | 37659-4493
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Country | US
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Telephone | 865-617-1356
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN0000143255
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License Number State | TN
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