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General NPI Number Information
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NPI Number | 1013965623
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Entity Type | Individual
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Provider Name | STEVE G. FERGUSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1901 W CLINCH AVE SUITE 301 EAST
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City | KNOXVILLE
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State | TN
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Zip | 37916-2307
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Country | US
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Telephone | 865-541-1167
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Fax | 865-541-3977
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Provider Business Mailing Address
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Address Line | 1817 CUMBERLAND AVE #370
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City | KNOXVILLE
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State | TN
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Zip | 37916-3009
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Country | US
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Telephone | 865-541-1167
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Fax | 865-541-3977
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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 | MD18844
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License Number State | TN
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