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General NPI Number Information
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NPI Number | 1043457179
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Entity Type | Organization
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Legal Business Name | CHEROKEE HEALTH SYSTEMS
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 11/10/2010
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Provider Practice Location Address
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Address Line | 10263 KINGSTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37922-3276
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Country | US
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Telephone | 865-670-9231
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Fax | 865-531-3460
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Provider Business Mailing Address
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Address Line | 6350 W A J HWY DEPARTMENT 100
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City | TALBOTT
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State | TN
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Zip | 37877
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Country | US
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Telephone | 800-355-3565
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Fax | 423-714-2355
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Authorized Official
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Title or Position | CFO
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Name | JEFFREY W HOWARD
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Credential | CPA
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Telephone | 423-587-7337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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