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General NPI Number Information
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NPI Number | 1750909891
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Entity Type | Individual
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Provider Name | NANCY GOBER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/06/2020
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Last Update Date | 07/06/2020
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Provider Practice Location Address
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Address Line | HOLSTON VALLEY MEDICAL CENTER INPATIENT PHARMACY 130 W RAVINE
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City | KINGSPORT
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State | TN
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Zip | 37660
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Country | US
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Telephone | 423-224-6850
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Fax | 423-224-6845
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Provider Business Mailing Address
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Address Line | 4610 MITCHELL RD
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City | KINGSPORT
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State | TN
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Zip | 37664-2126
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Country | US
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Telephone | 423-367-8200
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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 | 9386
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License Number State | TN
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