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General NPI Number Information
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NPI Number | 1659320687
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Entity Type | Individual
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Provider Name | STEPHANIE SIMS CROSS R.PH.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 08/22/2014
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Provider Practice Location Address
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Address Line | 8848 CEDAR SPRINGS LN STE 100
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City | KNOXVILLE
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State | TN
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Zip | 37923-5414
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Country | US
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Telephone | 865-769-5180
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Fax |
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Provider Business Mailing Address
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Address Line | 629 SEDGLEY DR
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City | KNOXVILLE
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State | TN
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Zip | 37922-4363
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Country | US
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Telephone | 865-456-7676
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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 | 9418
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License Number State | TN
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