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General NPI Number Information
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NPI Number | 1740263722
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Entity Type | Individual
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Provider Name | SHARON M BILLINGSLEY OD
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Gender | Female
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 104 KELLER LN
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City | MARYVILLE
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State | TN
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Zip | 37801
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Country | US
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Telephone | 865-681-3937
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Fax | 865-681-3422
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Provider Business Mailing Address
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Address Line | 1124 E WEISGARBER RD STE 104
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City | KNOXVILLE
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State | TN
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Zip | 37909-2686
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Country | US
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Telephone | 865-584-2127
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Fax | 865-392-5536
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1436
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3726157
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License Number State | TN
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