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General NPI Number Information
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NPI Number | 1902493786
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Entity Type | Individual
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Provider Name | NAZIA SALEEM
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Gender | Female
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Dates
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Enumeration Date | 12/28/2020
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Last Update Date | 03/19/2022
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Provider Practice Location Address
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Address Line | 8445 WALBROOK DR
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City | KNOXVILLE
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State | TN
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Zip | 37923-3115
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Country | US
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Telephone | 865-690-6041
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Fax |
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Provider Business Mailing Address
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Address Line | 1830 STONE HARBOR WAY
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City | KNOXVILLE
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State | TN
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Zip | 37922-6383
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Country | US
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Telephone | 832-643-8973
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 43697
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License Number State | TN
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