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General NPI Number Information
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NPI Number | 1669192209
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Entity Type | Organization
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Legal Business Name | SISTERS DEPENDABLE CARE INC
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Dates
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Enumeration Date | 09/02/2022
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Last Update Date | 09/02/2022
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Provider Practice Location Address
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Address Line | 461 TUSCUMBIA CV W
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City | COLLIERVILLE
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State | TN
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Zip | 38017-3659
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Country | US
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Telephone | 901-210-2061
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Fax |
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Provider Business Mailing Address
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Address Line | 461 TUSCUMBIA CV W
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City | COLLIERVILLE
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State | TN
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Zip | 38017-3659
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Country | US
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Telephone | 901-210-2061
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Fax |
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Authorized Official
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Title or Position | NP
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Name | TYKISE ROBBINS
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Credential |
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Telephone | 901-378-3747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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