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General NPI Number Information
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NPI Number | 1376572230
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Entity Type | Individual
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Provider Name | MARTHA G. SPARROW M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 06/18/2014
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Provider Practice Location Address
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Address Line | 1400 DUTCH VALLEY RD
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City | KNOXVILLE
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State | TN
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Zip | 37918
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Country | US
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Telephone | 865-689-1122
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Fax | 865-689-2923
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Provider Business Mailing Address
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Address Line | PO BOX 15004
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City | KNOXVILLE
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State | TN
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Zip | 37901
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Country | US
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Telephone | 865-522-9730
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Fax | 865-637-2520
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD24121
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | MD24121
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License Number State | TN
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