{
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"EIN": null,
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"NameSuffix": null,
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"OtherLastName": "BYRD",
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"OtherCredential": "NP",
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"FirstLineMailingAddress": "1124 FOX MEADOWS BLVD STE 3",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SEVIERVILLE",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "37862-6927",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "865-446-0224",
"MailingAddressFaxNumber": "865-365-1777",
"FirstLinePracticeLocationAddress": "229 HEDRICK DR",
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"PracticeLocationAddressCityName": "NEWPORT",
"PracticeLocationAddressStateName": "TN",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "423-623-1057",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/19/2007",
"LastUpdateDate": "09/25/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
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"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "APN11536",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}