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NPI 1184600959

NPI 1184600959 : SABRA C RINIO RPH : SPARTA, TN

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General NPI Number Information
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    NPI Number           |    1184600959
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    Entity Type          |    Individual 
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    Provider Name        |    SABRA C RINIO RPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/22/2005
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    Last Update Date     |    03/27/2014
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Provider Practice Location Address
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    Address Line         |    159 W. TURNTABLE DRIVE 
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    City                 |    SPARTA
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    State                |    TN
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    Zip                  |    38583
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    Country              |    US
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    Telephone            |    931-837-1240
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    Fax                  |    931-837-1243
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Provider Business Mailing Address
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    Address Line         |    370 S LOWE AVE STE A154 
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    City                 |    COOKEVILLE
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    State                |    TN
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    Zip                  |    38501-4730
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    Country              |    US
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    Telephone            |    931-261-2931
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    6852
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    License Number State |    TN
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