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General NPI Number Information
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NPI Number | 1871550087
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Entity Type | Individual
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Provider Name | VIRGINIA JUERN FNP
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Gender | Female
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 07/01/2010
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Provider Practice Location Address
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Address Line | 220 BMH CANCER CENTER
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City | MARYVILLE
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State | TN
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Zip | 37804
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Country | US
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Telephone | 865-977-1065
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Fax | 865-982-8538
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Provider Business Mailing Address
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Address Line | 220 BMH CANCER CENTER
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City | MARYVILLE
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State | TN
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Zip | 37804
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Country | US
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Telephone | 865-977-1065
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Fax | 865-982-8538
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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 | 0182308-22
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License Number State | TN
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