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General NPI Number Information
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NPI Number | 1063648624
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Entity Type | Organization
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Legal Business Name | OFFICE OF DR. 'GENE' SAPP
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Dates
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Enumeration Date | 06/09/2009
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Last Update Date | 06/09/2009
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Provider Practice Location Address
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Address Line | 1703 CALLAHAN DR
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City | KNOXVILLE
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State | TN
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Zip | 37912-1212
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Country | US
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Telephone | 865-947-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 1703 CALLAHAN DR
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City | KNOXVILLE
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State | TN
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Zip | 37912-1212
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Country | US
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Telephone | 865-947-6500
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARIA B. SAPP
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Credential |
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Telephone | 865-947-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7292
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License Number State | TN
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