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General NPI Number Information
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NPI Number | 1215914528
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Entity Type | Individual
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Provider Name | JANET G PICKSTOCK MD
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Gender | Female
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Dates
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Enumeration Date | 12/28/2005
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 5000 HENNESSY BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70808-4375
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Country | US
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Telephone | 225-765-4050
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Fax | 225-765-4046
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Provider Business Mailing Address
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Address Line | 119 BOONE RIDGE DR SUITE 201
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City | JOHNSON CITY
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State | TN
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Zip | 37615-4998
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Country | US
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Telephone | 423-282-1480
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Fax | 423-928-1353
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34517
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 34517
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 340968
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License Number State | LA
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