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General NPI Number Information
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NPI Number | 1811161763
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Entity Type | Individual
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Provider Name | SANDRA E. COX FNP
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Gender | Female
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 06/10/2021
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Provider Practice Location Address
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Address Line | 8626 AIRWAYS BLVD
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City | SOUTHAVEN
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State | MS
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Zip | 38671-2603
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Country | US
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Telephone | 662-772-5937
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Fax | 662-772-5940
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Provider Business Mailing Address
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Address Line | 7556 US HIGHWAY 70
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City | BARTLETT
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State | TN
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Zip | 38133-2686
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Country | US
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Telephone | 901-552-3497
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Fax | 574-635-9228
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5602
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 810147
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License Number State | MS
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