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General NPI Number Information
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NPI Number | 1669423653
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Entity Type | Individual
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Provider Name | SHARON LEE WHITMAN CRNA
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Gender | Female
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 04/22/2014
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Provider Practice Location Address
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Address Line | 1 MEDICAL PARK BLVD
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City | BRISTOL
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State | TN
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Zip | 37620-7430
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Country | US
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Telephone | 423-844-2686
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Fax | 423-844-2688
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Provider Business Mailing Address
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Address Line | 210 SKYWAY DR
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City | CHUCKEY
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State | TN
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Zip | 37641-5615
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Country | US
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Telephone | 423-844-2686
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Fax | 423-844-2688
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 44906
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License Number State | VA
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