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General NPI Number Information
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NPI Number | 1437838463
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Entity Type | Individual
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Provider Name | SYDNEY NELSON STOOKSBURY
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Gender | Female
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 9330 PARK WEST BLVD STE 100
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City | KNOXVILLE
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State | TN
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Zip | 37923-4309
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Country | US
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Telephone | 865-373-7942
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Fax | 865-373-7235
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Provider Business Mailing Address
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Address Line | 9330 PARK WEST BLVD STE 100
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City | KNOXVILLE
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State | TN
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Zip | 37923-4309
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Country | US
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Telephone | 865-373-7942
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Fax | 865-373-7235
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 35104
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License Number State | TN
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