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General NPI Number Information
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NPI Number | 1043672306
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Entity Type | Organization
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Legal Business Name | KNOX HOSPITAL COMPANY LLC
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Dates
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Enumeration Date | 03/25/2016
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Last Update Date | 03/29/2016
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Provider Practice Location Address
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Address Line | 102 E CULVER RD
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City | KNOX
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State | IN
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Zip | 46534-2216
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Country | US
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Telephone | 571-772-6231
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Fax |
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Provider Business Mailing Address
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Address Line | 33371 COLLECTION CENTER DR
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City | CHICAGO
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State | IL
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Zip | 60675-0333
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Country | US
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Telephone | 866-916-5259
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Fax | 231-922-4030
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Authorized Official
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Title or Position | DIRECTOR
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Name | MIKE SWAW
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Credential |
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Telephone | 615-778-8076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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