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General NPI Number Information
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NPI Number | 1578356218
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Entity Type | Individual
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Provider Name | KATIE DYER FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/26/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 3118 ALCOA HWY
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City | KNOXVILLE
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State | TN
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Zip | 37920-4791
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Country | US
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Telephone | 865-809-0440
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Fax |
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Provider Business Mailing Address
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Address Line | 5450 QUARTER HORSE TRL
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City | MORRISTOWN
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State | TN
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Zip | 37813
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Country | US
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Telephone | 865-314-7125
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 38995
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License Number State | TN
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