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General NPI Number Information
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NPI Number | 1033282405
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Entity Type | Organization
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Legal Business Name | SCOTT COUNTY MEDICAL CLINIC INC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 19268 ALBERTA AVE
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City | ONEIDA
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State | TN
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Zip | 37841
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Country | US
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Telephone | 423-569-8462
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Fax | 423-569-2577
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Provider Business Mailing Address
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Address Line | PO BOX 5420
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City | ONEIDA
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State | TN
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Zip | 37841
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Country | US
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Telephone | 423-569-8462
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Fax | 423-569-2577
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. TRACY K MORGAN
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Credential |
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Telephone | 423-569-8462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number | 0270796
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number | 0270796
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License Number State | TN
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