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General NPI Number Information
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NPI Number | 1669740262
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Entity Type | Individual
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Provider Name | CASSIE NEWMAN
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Gender | Female
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Dates
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Enumeration Date | 12/09/2011
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Last Update Date | 12/09/2011
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Provider Practice Location Address
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Address Line | 3071 PARKWAY
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City | PIGEON FORGE
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State | TN
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Zip | 37863-3311
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Country | US
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Telephone | 865-429-7127
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Fax |
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Provider Business Mailing Address
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Address Line | 109 SHERWOOD FRST
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City | SEVIERVILLE
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State | TN
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Zip | 37876-3813
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Country | US
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Telephone |
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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 | 11681
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License Number State | TN
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