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General NPI Number Information
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NPI Number | 1023787629
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Entity Type | Organization
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Legal Business Name | TENNESSEE OSTEOPATHIC INSTITUTE, PC
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 601 S CONCORD ST STE 102
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City | KNOXVILLE
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State | TN
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Zip | 37919-3339
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Country | US
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Telephone | 865-440-8759
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Fax |
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Provider Business Mailing Address
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Address Line | 601 S CONCORD ST STE 102
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City | KNOXVILLE
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State | TN
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Zip | 37919-3339
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Country | US
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Telephone | 865-440-8759
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN C COPPINGER
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Credential | D.O.
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Telephone | 865-440-8759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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