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General NPI Number Information
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NPI Number | 1699086348
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Entity Type | Individual
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Provider Name | SUSAN AVERRIE KORF BS PHARMACIST
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Gender | Female
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Dates
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Enumeration Date | 06/28/2010
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Last Update Date | 06/28/2010
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Provider Practice Location Address
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Address Line | 1959 W ANDREW JOHNSON HWY
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City | MORRISTOWN
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State | TN
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Zip | 37814-3777
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Country | US
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Telephone | 423-317-7303
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Fax | 423-317-8302
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Provider Business Mailing Address
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Address Line | 3518 SAINT ANDREWS DR
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City | WHITE PINE
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State | TN
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Zip | 37890-4900
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Country | US
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Telephone | 925-998-7824
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Fax | 423-317-8302
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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 | 015859
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 130730
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 7807
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2526
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License Number State | HI
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 46889
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 00069571
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License Number State | WA
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Taxonomy #7
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 7131
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License Number State | OR
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