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General NPI Number Information
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NPI Number | 1063300234
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Entity Type | Organization
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Legal Business Name | PHOENIX SPINE AND HEALTH PLLC
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 900 E HILL AVE STE 205
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City | KNOXVILLE
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State | TN
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Zip | 37915-2563
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Country | US
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Telephone | 865-415-2620
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Fax |
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Provider Business Mailing Address
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Address Line | 900 E HILL AVE STE 205
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City | KNOXVILLE
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State | TN
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Zip | 37915-2563
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DAVID NEWPORT
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Credential | DO
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Telephone | 652-168-7878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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