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General NPI Number Information
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NPI Number | 1265473870
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Entity Type | Individual
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Provider Name | ALISA WATERS BISCH FNP
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Gender | Female
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 02/05/2015
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Provider Practice Location Address
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Address Line | 4824 WASHINGTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37917-2156
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Country | US
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Telephone | 865-637-4970
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Fax | 865-637-5036
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Provider Business Mailing Address
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Address Line | 4824 WASHINGTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37917-2156
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Country | US
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Telephone | 865-637-4970
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Fax | 865-637-5036
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11390
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License Number State | TN
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