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General NPI Number Information
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NPI Number | 1861265266
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Entity Type | Individual
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Provider Name | SHERRY LEE AHLSTROM FNP
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Gender | Female
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 304 WRIGHT ST
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City | SWEETWATER
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State | TN
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Zip | 37874-1181
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Country | US
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Telephone | 865-213-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 325 OLD MINE RD
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City | SWEETWATER
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State | TN
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Zip | 37874-5844
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Country | US
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Telephone | 310-956-5666
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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 | 35060
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License Number State | TN
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