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General NPI Number Information
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NPI Number | 1063416618
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Entity Type | Individual
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Provider Name | LOUIS E HAUN MD
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Gender | Male
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 628 SMITHVIEW DR
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City | MARYVILLE
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State | TN
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Zip | 37803-6100
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Country | US
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Telephone | 865-984-7012
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Fax | 865-584-3892
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Provider Business Mailing Address
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Address Line | 1124 E WEISGARBER RD STE 104
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City | KNOXVILLE
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State | TN
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Zip | 37909-2686
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Country | US
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Telephone | 865-584-0905
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Fax | 865-584-3892
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD08625
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License Number State | TN
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