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General NPI Number Information
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NPI Number | 1811481633
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Entity Type | Individual
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Provider Name | SARAH PARKER
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Gender | Female
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Dates
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Enumeration Date | 06/15/2018
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Last Update Date | 12/05/2018
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Provider Practice Location Address
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Address Line | 4589 RHEA COUNTY HWY
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City | DAYTON
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State | TN
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Zip | 37321-6076
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Country | US
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Telephone | 423-428-9550
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Fax |
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Provider Business Mailing Address
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Address Line | 1021 TUB LN
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City | SALE CREEK
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State | TN
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Zip | 37373-3300
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Country | US
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Telephone | 423-505-6284
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F02180026
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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 | 23965
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License Number State | TN
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