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General NPI Number Information
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NPI Number | 1629166947
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Entity Type | Individual
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Provider Name | SANDRA HINDS RPH
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Gender | Female
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 960 E 3RD ST WHITEHALL BUILDING
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2104
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Country | US
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Telephone | 423-266-7172
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Fax | 423-266-8693
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Provider Business Mailing Address
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Address Line | 1103 MONT LAKE ROAD
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City | SODDY DAISY
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State | TN
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Zip | 37379
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Country | US
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Telephone | 423-332-4197
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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 | C4161
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License Number State | TN
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