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General NPI Number Information
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NPI Number | 1104023704
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Entity Type | Organization
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Legal Business Name | ROANE MEDICAL CENTER
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 06/11/2009
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Provider Practice Location Address
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Address Line | 412 DEVONIA ST
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City | HARRIMAN
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State | TN
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Zip | 37748-2009
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Country | US
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Telephone | 865-882-4440
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1090
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City | HARRIMAN
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State | TN
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Zip | 37748-1090
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Country | US
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Telephone | 865-882-4440
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Fax | 865-882-4447
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Authorized Official
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Title or Position | SUPERVISOR
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Name | TERESA STEELMAN
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Credential |
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Telephone | 865-882-4440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD0000030128
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD0000038366
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD0000039076
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD0000010526
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD42907
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD27725
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License Number State | TN
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Taxonomy #7
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD0000041558
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License Number State | TN
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