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General NPI Number Information
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NPI Number | 1073216990
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Entity Type | Organization
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Legal Business Name | INTERSTATE HEALTH SYSTEMS, INC
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Dates
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Enumeration Date | 03/22/2023
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 7200 STRAWBERRY PLAINS PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37914-9589
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Country | US
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Telephone | 865-240-3038
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Fax | 855-576-2235
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Provider Business Mailing Address
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Address Line | 330 FRANKLIN RD STE 135A-160
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City | BRENTWOOD
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State | TN
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Zip | 37027-3280
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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 | CEO
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Name | MR. JEFF SERAPHINE
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Credential |
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Telephone | 931-526-1604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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