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General NPI Number Information
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NPI Number | 1447447255
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Entity Type | Individual
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Provider Name | ELIZABETH ANN MAPLES
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Gender | Male
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 09/26/2007
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Provider Practice Location Address
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Address Line | 227 CEDAR ST
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City | SEVIERVILLE
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State | TN
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Zip | 37862-3838
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Country | US
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Telephone | 865-453-1032
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Fax | 865-429-2689
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Provider Business Mailing Address
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Address Line | 2747 FIESTA BLVD
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City | SEVIERVILLE
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State | TN
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Zip | 37876-6576
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Country | US
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Telephone |
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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