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General NPI Number Information
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NPI Number | 1851331540
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Entity Type | Individual
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Provider Name | SHERRIL M BOOZER RN, MSN, APN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 05/24/2019
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Provider Practice Location Address
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Address Line | 10810 PARKSIDE DR PHYSICIANS PLAZA 1, SUITE 305
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City | KNOXVILLE
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State | TN
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Zip | 37934-1979
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Country | US
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Telephone | 865-694-9676
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Fax | 865-588-3742
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Provider Business Mailing Address
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Address Line | 1710 PERSIMMON LN
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City | KNOXVILLE
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State | TN
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Zip | 37922-7127
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Country | US
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Telephone | 865-659-7731
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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 | 7217
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License Number State | TN
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