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General NPI Number Information
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NPI Number | 1699283127
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Entity Type | Individual
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Provider Name | DONNA DENISE SIZEMORE
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Gender | Female
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Dates
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Enumeration Date | 01/18/2018
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Last Update Date | 01/18/2018
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Provider Practice Location Address
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Address Line | 3034 RHEA COUNTY HWY
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City | DAYTON
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State | TN
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Zip | 37321-5806
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Country | US
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Telephone | 423-775-0703
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Fax | 423-775-1027
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Provider Business Mailing Address
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Address Line | 684 OLD WASHINGTON HWY
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City | DAYTON
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State | TN
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Zip | 37321-7284
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Country | US
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Telephone | 423-838-0122
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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 | 7313
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License Number State | TN
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