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General NPI Number Information
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NPI Number | 1740336213
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Entity Type | Individual
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Provider Name | SHARON K.C. SCHAAB
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Gender | Female
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 710 N MAIN ST SUITE A
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City | CLINTON
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State | TN
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Zip | 37716-3143
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Country | US
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Telephone | 865-425-8801
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Fax | 865-457-2096
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Provider Business Mailing Address
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Address Line | 1758 FLAT HOLLOW RD
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City | SPEEDWELL
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State | TN
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Zip | 37870-8121
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Country | US
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Telephone | 423-562-3007
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 55512
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License Number State | TN
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