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General NPI Number Information
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NPI Number | 1003019407
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Entity Type | Individual
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Provider Name | JENNIFER LEE DUNCAN-MORIN RN, MBA, CCM
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Gender | Female
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 06/01/2021
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Provider Practice Location Address
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Address Line | 8128 KINGSDALE DR
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City | KNOXVILLE
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State | TN
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Zip | 37919-7005
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Country | US
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Telephone | 865-679-7520
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Fax |
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Provider Business Mailing Address
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Address Line | 8128 KINGSDALE DR
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City | KNOXVILLE
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State | TN
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Zip | 37919-7005
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Country | US
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Telephone | 865-679-7520
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 166505
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License Number State | TN
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