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General NPI Number Information
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NPI Number | 1043353808
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Entity Type | Organization
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Legal Business Name | TENNESSEE PAIN CONSULTANTS PC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 09/13/2011
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Provider Practice Location Address
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Address Line | 230 BOWMAN ST SUITE C
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City | MORRISTOWN
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State | TN
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Zip | 37813-3871
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Country | US
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Telephone | 423-587-8314
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Fax | 423-585-0015
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Provider Business Mailing Address
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Address Line | PO BOX 51410
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City | KNOXVILLE
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State | TN
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Zip | 37950-1410
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Country | US
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Telephone | 423-587-8314
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Fax | 423-585-0015
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN B SILCOX
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Credential |
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Telephone | 423-587-8314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP11594
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN12848
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 5529
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 71290034
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO0000000682
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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