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General NPI Number Information
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NPI Number | 1861384661
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Entity Type | Individual
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Provider Name | SARAH DICKSON FNP
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Gender | Female
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 149 WALNUT GROVE CHURCH RD
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City | DAYTON
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State | TN
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Zip | 37321-7925
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Country | US
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Telephone | 423-775-5512
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Fax | 423-775-5512
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Provider Business Mailing Address
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Address Line | 5505 CREEKWOOD PARK BLVD
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City | LENOIR CITY
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State | TN
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Zip | 37772-1201
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Country | US
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Telephone | 865-986-1400
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Fax | 865-986-9400
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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 | 38614
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License Number State | TN
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