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General NPI Number Information
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NPI Number | 1043972615
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Entity Type | Organization
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Legal Business Name | TAP TO TREAT
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Dates
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Enumeration Date | 10/11/2021
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Last Update Date | 10/11/2021
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Provider Practice Location Address
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Address Line | 3286 N PARK BLVD STE G
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City | ALCOA
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State | TN
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Zip | 37701-3275
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Country | US
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Telephone | 865-888-7890
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Fax | 865-205-1092
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Provider Business Mailing Address
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Address Line | PO BOX 10151
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City | KNOXVILLE
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State | TN
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Zip | 37939-0151
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Country | US
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Telephone | 865-888-7890
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Fax | 865-205-1092
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Authorized Official
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Title or Position | COO
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Name | GRANT DAVIS
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Credential |
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Telephone | 865-888-7890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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