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General NPI Number Information
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NPI Number | 1215290523
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Entity Type | Individual
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Provider Name | ELIZABETH PUHR
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Gender | Female
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 06/21/2012
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Provider Practice Location Address
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Address Line | 6526 STILL MEADOWS LANE
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City | HARRISON
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State | TN
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Zip | 37341
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Country | US
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Telephone | 334-750-3143
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Fax |
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Provider Business Mailing Address
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Address Line | 6526 STILL MEADOWS LANE
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City | HARRISON
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State | TN
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Zip | 37341
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Country | US
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Telephone |
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 175666
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License Number State | TN
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