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General NPI Number Information
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NPI Number | 1023020682
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Entity Type | Organization
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Legal Business Name | GREAT SMOKIES MEDICAL CENTER
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 1312 PATTON AVE
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City | ASHEVILLE
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State | NC
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Zip | 28806-2604
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Country | US
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Telephone | 828-252-9833
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Fax | 828-255-8118
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Provider Business Mailing Address
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Address Line | 1312 PATTON AVE
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City | ASHEVILLE
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State | NC
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Zip | 28806-2604
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Country | US
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Telephone | 828-252-9833
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Fax | 828-255-8118
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. PAT GALLIMORE
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Credential |
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Telephone | 828-252-9833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 38342
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License Number State | NC
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