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General NPI Number Information
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NPI Number | 1023112414
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Entity Type | Organization
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Legal Business Name | PEDIATRIC ANALGESIA & SEDATION SPECIALISTS
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 04/08/2013
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Provider Practice Location Address
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Address Line | 2018 CLINCH AVENUE
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City | KNOXVILLE
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State | TN
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Zip | 37916-2228
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Country | US
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Telephone | 865-541-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 W CLINCH AVE STE 235 EAST TENNESSEE CHILDREN'S HOSPITAL
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City | KNOXVILLE
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State | TN
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Zip | 37916-2228
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Country | US
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Telephone | 865-541-8000
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | ELIZABETH HENLEY HOWARD
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Credential |
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Telephone | 865-541-8648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number |
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License Number State |
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