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General NPI Number Information
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NPI Number | 1124214721
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Entity Type | Organization
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Legal Business Name | MICHAEL F. LETT, M.D. P.C.
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 05/12/2011
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Provider Practice Location Address
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Address Line | 11730 KINGSTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37934-3827
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Country | US
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Telephone | 865-966-8770
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Fax | 865-777-3937
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Provider Business Mailing Address
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Address Line | 11730 KINGSTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37934-3827
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Country | US
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Telephone | 865-966-8770
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Fax | 865-777-3937
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL F. LETT
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Credential | M.D.
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Telephone | 865-966-8770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | TN12161
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License Number State | TN
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