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General NPI Number Information
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NPI Number | 1033752597
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Entity Type | Organization
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Legal Business Name | TMS OF EAST TENNESSEE PLLC
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Dates
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Enumeration Date | 10/28/2019
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Last Update Date | 04/02/2020
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Provider Practice Location Address
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Address Line | 10241 KINGSTON PIKE STE 2
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City | KNOXVILLE
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State | TN
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Zip | 37922-3240
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Country | US
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Telephone | 865-691-1165
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Fax | 865-690-6042
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Provider Business Mailing Address
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Address Line | 10241 KINGSTON PIKE STE 2
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City | KNOXVILLE
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State | TN
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Zip | 37922-3240
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Country | US
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Telephone | 865-691-1165
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Fax | 865-690-6042
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Authorized Official
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Title or Position | TMS COORDINATOR
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Name | EMILY DEVENTE
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Credential | LPN
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Telephone | 865-691-1165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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