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General NPI Number Information
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NPI Number | 1982357133
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Entity Type | Individual
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Provider Name | ELIZABETH THOMAS
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Gender | Female
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Dates
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Enumeration Date | 01/28/2022
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 6626 CENTRAL AVENUE PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37912-1400
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Country | US
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Telephone | 865-684-9811
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 SILVER OAKS LN
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City | LENOIR CITY
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State | TN
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Zip | 37772-9001
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Country | US
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Telephone |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 30669
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License Number State | TN
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