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General NPI Number Information
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NPI Number | 1053881706
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Entity Type | Organization
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Legal Business Name | TENNESSEE VALLEY ANESTHESIA ASSOCIATES, LLC
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Dates
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Enumeration Date | 11/26/2018
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 310 N STATE OF FRANKLIN RD STE 202
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City | JOHNSON CITY
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State | TN
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Zip | 37604-6063
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Country | US
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Telephone | 423-434-3700
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Fax | 423-929-0662
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Provider Business Mailing Address
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Address Line | PO BOX 739579
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City | DALLAS
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State | TX
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Zip | 75373-9579
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Country | US
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Telephone | 888-717-5383
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Fax |
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Authorized Official
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Title or Position | VP OF RCM
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Name | JEFF PERRY
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Credential |
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Telephone | 502-418-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology 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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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