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General NPI Number Information
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NPI Number | 1205065984
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Entity Type | Individual
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Provider Name | SARAH LYTTLE JONES RN, C-PNP
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Gender | Female
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Dates
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Enumeration Date | 07/02/2009
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Last Update Date | 07/02/2009
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Provider Practice Location Address
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Address Line | 2072 LAKESIDE CENTRE WAY
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City | KNOXVILLE
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State | TN
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Zip | 37922-6591
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Country | US
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Telephone | 865-670-1560
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Fax | 865-670-1862
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Provider Business Mailing Address
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Address Line | 2072 LAKESIDE CENTRE WAY
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City | KNOXVILLE
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State | TN
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Zip | 37922
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Country | US
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Telephone | 865-670-1560
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Fax | 865-670-1862
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 14086
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License Number State | TN
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