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General NPI Number Information
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NPI Number | 1013139906
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Entity Type | Individual
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Provider Name | DENNIS R. KING M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 02/25/2020
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Provider Practice Location Address
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Address Line | 11416 GRIGSBY CHAPEL RD STE 102
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City | KNOXVILLE
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State | TN
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Zip | 37934-1770
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Country | US
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Telephone | 865-392-1717
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Fax | 865-392-1719
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Provider Business Mailing Address
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Address Line | 11416 GRIGSBY CHAPEL RD STE 102
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City | KNOXVILLE
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State | TN
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Zip | 37934-1770
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Country | US
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Telephone | 865-392-1717
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Fax | 865-392-1719
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 241884
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 40938
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25725
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License Number State | TN
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