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General NPI Number Information
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NPI Number | 1043251606
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Entity Type | Individual
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Provider Name | MARK J HARRELL MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 908 W 4TH NORTH ST
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City | MORRISTOWN
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State | TN
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Zip | 37814-3894
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Country | US
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Telephone | 423-492-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 470 ASHLAND OAKS DR
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City | MORRISTOWN
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State | TN
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Zip | 37813-1067
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Country | US
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Telephone | 423-585-4348
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 28241
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License Number State | TN
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