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General NPI Number Information
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NPI Number | 1033404454
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Entity Type | Individual
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Provider Name | SAMANTHA HUTTON-METHENEY LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/14/2011
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Last Update Date | 06/14/2011
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Provider Practice Location Address
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Address Line | 2931 ESSARY RD
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City | KNOXVILLE
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State | TN
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Zip | 37918-2404
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Country | US
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Telephone | 865-456-0058
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Fax |
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Provider Business Mailing Address
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Address Line | 4321 OHARA DR
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City | KNOXVILLE
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State | TN
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Zip | 37918-5050
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Country | US
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Telephone | 865-456-0058
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Fax | 865-376-7206
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMT0000000855
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License Number State | TN
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