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General NPI Number Information
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NPI Number | 1114990744
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Entity Type | Organization
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Legal Business Name | METRO KNOXVILLE HMA, LLC
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 07/23/2013
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Provider Practice Location Address
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Address Line | 900 E OAK HILL AVE
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City | KNOXVILLE
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State | TN
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Zip | 37917-4505
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Country | US
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Telephone | 865-545-8905
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Fax | 865-545-8909
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Provider Business Mailing Address
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Address Line | 900 E OAK HILL AVE
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City | KNOXVILLE
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State | TN
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Zip | 37917-4505
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Country | US
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Telephone | 865-545-8905
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Fax | 865-545-8909
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Authorized Official
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Title or Position | PHARMACY OPERATIONS LEADER
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Name | KERRY CHOLKA
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Credential |
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Telephone | 865-545-8905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 473
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License Number State | TN
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