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General NPI Number Information
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NPI Number | 1043418742
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Entity Type | Organization
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Legal Business Name | SENTEF MEDICAL CENTER
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 9380 BRADMORE LN STE 104
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City | OOLTEWAH
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State | TN
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Zip | 37363-4447
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Country | US
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Telephone | 423-760-4630
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Fax | 423-760-4631
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Provider Business Mailing Address
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Address Line | 9380 BRADMORE LN STE 104
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City | OOLTEWAH
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State | TN
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Zip | 37363-4447
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Country | US
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Telephone | 423-760-4630
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Fax | 423-760-4631
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MR. JEREMY PLASTER
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Credential |
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Telephone | 237-604-6304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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