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General NPI Number Information
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NPI Number | 1457682650
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Entity Type | Individual
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Provider Name | REBECCA GAIL LAKEY RN
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Gender | Female
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Dates
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Enumeration Date | 01/28/2010
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Last Update Date | 10/09/2012
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Provider Practice Location Address
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Address Line | 10263 KINGSTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37922-3276
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Country | US
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Telephone | 865-670-9231
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Fax | 865-531-3460
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Provider Business Mailing Address
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Address Line | 6350 W ANDREW JOHNSON HWY DEPARTMENT 100
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City | TALBOTT
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State | TN
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Zip | 37877-8605
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Country | US
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Telephone | 800-355-3565
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Fax | 423-714-2355
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN165640
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License Number State | TN
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