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General NPI Number Information
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NPI Number | 1033154851
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Entity Type | Organization
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Legal Business Name | PARKWEST SURGERY CENTER LLC
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 9461 SHERRILL BLVD
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City | KNOXVILLE
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State | TN
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Zip | 37932-3603
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Country | US
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Telephone | 865-531-0494
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Fax | 865-531-0554
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Provider Business Mailing Address
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Address Line | 9461 SHERRILL BLVD
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City | KNOXVILLE
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State | TN
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Zip | 37932-3603
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Country | US
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Telephone | 865-531-0494
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Fax | 865-531-0554
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | SHANNON L AIUTO
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Credential |
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Telephone | 586-722-8111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 0000000136
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License Number State | TN
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