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General NPI Number Information
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NPI Number | 1003901646
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Entity Type | Individual
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Provider Name | LISA ANN BELLNER MD
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 02/01/2012
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Provider Practice Location Address
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Address Line | 6441 DEANE HILL DRIVE
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City | KNOXVILLE
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State | TN
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Zip | 37919
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Country | US
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Telephone | 865-330-9799
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Fax | 865-330-9759
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Provider Business Mailing Address
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Address Line | PO BOX 580
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City | LOUISVILLE
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State | TN
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Zip | 37777-0580
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Country | US
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Telephone | 865-330-9799
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Fax | 865-330-9759
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 35462
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License Number State | TN
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