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General NPI Number Information
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NPI Number | 1427684786
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Entity Type | Individual
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Provider Name | BRITTANY BOOKER SHOPE
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Gender | Female
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Dates
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Enumeration Date | 03/19/2020
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Last Update Date | 03/19/2020
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Provider Practice Location Address
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Address Line | 3051 KINZEL WAY
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City | KNOXVILLE
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State | TN
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Zip | 37924-2190
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Country | US
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Telephone | 865-544-0120
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Fax |
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Provider Business Mailing Address
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Address Line | 304 COMB RIDGE RD
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City | MAYNARDVILLE
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State | TN
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Zip | 37807-2739
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Country | US
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Telephone | 865-661-7265
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 40266
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License Number State | TN
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