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General NPI Number Information
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NPI Number | 1073758868
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Entity Type | Organization
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Legal Business Name | INTEGRATED HEALTH CONCEPTS, LLC
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Dates
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Enumeration Date | 12/08/2008
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Last Update Date | 01/19/2012
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Provider Practice Location Address
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Address Line | 28 MIDWAY ST
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City | BRISTOL
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State | TN
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Zip | 37620-1706
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Country | US
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Telephone | 423-573-9873
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Fax |
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Provider Business Mailing Address
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Address Line | DEPT 888242
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City | KNOXVILLE
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State | TN
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Zip | 37995-8242
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Country | US
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Telephone | 423-573-9873
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Fax | 423-573-9875
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | DR. JAMES HOLLIES SCHRENKER
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Credential | M.D.
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Telephone | 423-573-9873
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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 | 51348
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License Number State | VA
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