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General NPI Number Information
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NPI Number | 1932440294
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Entity Type | Individual
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Provider Name | SHERRY INEZ OLIVER P.T.
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Gender | Female
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Dates
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Enumeration Date | 03/12/2013
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Last Update Date | 03/12/2013
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Provider Practice Location Address
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Address Line | 614 MABRY HOOD RD STE 301
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City | KNOXVILLE
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State | TN
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Zip | 37932-2669
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Country | US
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Telephone | 865-474-8413
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Fax | 855-232-8604
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Provider Business Mailing Address
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Address Line | 614 MABRY HOOD RD STE 301
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City | KNOXVILLE
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State | TN
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Zip | 37932-2669
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Country | US
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Telephone | 865-474-8413
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Fax | 855-232-8604
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4012
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License Number State | SC
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