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General NPI Number Information
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NPI Number | 1124973193
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Entity Type | Individual
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Provider Name | ANDREW N CHITWOOD
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Gender | Male
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 215 CENTER PARK DR STE 1700
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City | KNOXVILLE
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State | TN
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Zip | 37922-2195
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Country | US
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Telephone | 423-525-6174
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Fax |
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Provider Business Mailing Address
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Address Line | 7443 EARL GRAY WAY
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City | CORRYTON
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State | TN
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Zip | 37721-3597
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Country | US
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Telephone | 865-386-0482
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 13818
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License Number State | TN
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