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General NPI Number Information
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NPI Number | 1114912433
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Entity Type | Organization
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Legal Business Name | NEPHROLOGY ASSOCIATES OF KNOXVILLE, PC
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Dates
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Enumeration Date | 09/13/2005
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Last Update Date | 03/07/2019
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Provider Practice Location Address
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Address Line | 1932 ALCOA HWY STE C460
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City | KNOXVILLE
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State | TN
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Zip | 37920
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Country | US
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Telephone | 865-546-9246
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Fax | 865-523-6466
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Provider Business Mailing Address
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Address Line | 1932 ALCOA HWY STE C460
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City | KNOXVILLE
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State | TN
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Zip | 37920
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Country | US
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Telephone | 865-546-9246
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Fax | 865-523-6466
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Authorized Official
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Title or Position | PARTNER/PRESIDENT
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Name | DENISE RIVERS
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Credential | DO
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Telephone | 865-546-9246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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