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General NPI Number Information
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NPI Number | 1033448584
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Entity Type | Organization
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Legal Business Name | WEST KNOX UPPER CERVICAL CARE, P.C.
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Dates
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Enumeration Date | 12/11/2009
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Last Update Date | 12/11/2009
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Provider Practice Location Address
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Address Line | 1508 COLEMAN RD SUITE 107
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City | KNOXVILLE
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State | TN
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Zip | 37909-3808
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Country | US
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Telephone | 865-316-8404
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Fax |
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Provider Business Mailing Address
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Address Line | 1421 WINDPOINTE WAY
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City | KNOXVILLE
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State | TN
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Zip | 37931-4459
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Country | US
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Telephone | 864-680-5156
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Fax |
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Authorized Official
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Title or Position | SECRETARY/TREASURER
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Name | DR. MARGARET ESTELLE ANGLE
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Credential | D.C.
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Telephone | 864-680-5156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | TN
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