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General NPI Number Information
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NPI Number | 1093679292
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Entity Type | Organization
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Legal Business Name | CHUC, LLC
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 460 MEDICAL PARK DR STE 103
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City | LENOIR CITY
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State | TN
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Zip | 37772-5782
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Country | US
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Telephone | 865-271-0038
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Fax | 865-271-0040
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Provider Business Mailing Address
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Address Line | 216 CENTERVIEW DR STE 100
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City | BRENTWOOD
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State | TN
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Zip | 37027-3226
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Country | US
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Telephone | 615-656-2750
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Fax | 314-270-3694
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Authorized Official
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Title or Position | CREDENTILING SPECIALIST
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Name | TYLER TERWILLIGER
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Credential |
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Telephone | 615-656-2750
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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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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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